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N <br /> o = o rt <br /> m <br /> v' O D <br /> Q <br /> o xt w �- <br /> N <br /> X N <br /> N M O <br /> .: N: . N <br /> rn <br /> ENVIRONMENTAL HEAUH.DEPARTMENT C w <br /> ILI <br /> 304 East Weber Avenue,P Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Far:(209)464-0138 Web:www,sjgov.org/chd p m <br /> O 3 <br /> PERCOLATION TEST RATE � <br /> /r� I H rLn <br /> D <br /> h ADDRESS OR LOCATION:Wil') JVl�C„' CITY: ���to It y <br /> OWNER NAME:— �4G 1141, DATE: (1 , /1A O- <br /> APN: �(,��1� APPLICATION#: DEPTH TO FIRST WATER: Ft IT N <br /> TG' n <br /> 6J SOIL TYPE: N <br /> rr <br /> 3' REMARKS: O <br /> 7 <br /> � 1 <br /> rD <br /> � LOCATION OF TEST HOLES(SHOW WELLS AND srRucTul:es) <br /> w <br /> ISI <br /> rD I <br /> fD — <br /> I I 1 I I <br /> II I I ! II I , i I I I I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth I Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: inParcel: Diameter: ° n Depth: n <br /> t <br /> THE ING, WATFRDRGP RCFILLED TWE RE4DI.'G WATER DROP CFI LED <br /> .lo 3Z :15 <br /> 6-7-6 o.$A la 5\ .k5 o.q5 .10 <br /> to0A U•3} 9.15 JA <br /> G� .I6 0,71 o q; 5 q.4q D,�b <br /> 15 0111 3.g1 <br /> Ivs o x916 \ ��Ih• o 10 3.1, <br /> Is 11,1� 3,75 <br /> II•,Uo .(o 09? .U2 I1;G G. �t oti.m <br /> l0 516 -6q <br /> I PERCOLATION RATE: _�- min/in PERCOLATION RATE:3, min/in <br /> RECOMMENDED SEPTIC-AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 1 f vrtau�i _ Phone:(��)s.-4km -— Date��Q2��a_ __ x <br /> FEST CERTIFIED BY; '1 Phone: __ Date _ r) <br /> n n <br /> OBSERVED BY(REHS): Phone — Date <br /> o .Z7 <br /> O <br /> p� O <br /> (D ~' <br /> Ql <br /> O r. <br /> h <br /> I-, <br />