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v o <br /> O rD <br /> --I D <br /> 0- <br /> 0- <br /> U fit: <br /> 73 F+ <br /> N <br /> LA LA <br /> aN � <br /> !L A O N <br /> rn p A <br /> O1 V <br /> O <br /> O m <br /> O 3 r <br /> O <br /> 1868 East Hazelton Avenue,Storkton,CA 95205-6232 M <br /> (D Telephone:(209)4663420 Fax:(209)464-013b Web:w .sjgov.orgleha rD <br /> PERCOLATION TEST RATE S <br /> 2 anOREss OR LOCATION: /2 Y 72' rii�, cR`r: l M r <br /> rD OWNERNAME: I=ori^\[_�y{�,Li✓11ti:1.1 '} O <br /> —1 DATE: n <br /> Ni S j�- ';/ APPLICATION#: <br /> rrt <br /> APN: DEPTH TO FIRST WATER: (D <br /> SOIL it"FE. <br /> (n REMARKS: O <br /> i <br /> CD <br /> CL <br /> RLLOCATION OF TEST HOLES Istlow wELLs AND sTRucTURE) <br /> _ i i ! I I I <br /> t-- —�—i—C N— -rD <br /> rD — W — — — fir- <br /> 'y <br /> ( ZL <br /> I IIII I 1 11 1 1I III II I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Tvpe Depth Soil Type Depth Soil Tvpe Depth Soil TVpe De th Soil T e <br /> � I'u <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter. in De th: in Parcel Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> We 31,79 <br /> 'i V1 .Z 7 <br /> .31 22 7 <br /> r 3r:-i JL4 <br /> c)o 3- <br /> , 3 ' <br /> PERCOLATION RATE: 7 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC/p!REJA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: rlol �Ar—�'� Phone:�(0 1 1 oc b Date <br /> ST CERTIFIED BY: Phone: Date <br /> ERVED BY(RENS): I'v Phone Date <br /> 3 REV 1112109 PERC TEST RATE FORM <br /> rD <br /> n <br /> O <br /> N <br /> 0 <br /> � O <br /> Dq O <br /> rD �o <br /> t� N <br /> O <br /> O ID <br /> UT <br /> N <br />