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o = o �. <br /> O m D <br /> -L <br /> o 4 w 'I <br /> �' ENVIRONMENTAL HEALTH DEPARTMENT <br /> v ` n w <br /> f 600 East Main Street,Stockton,CA 95202-3029 C <br /> M � w/ Telephone:(209)468-3420 Fax:(209)464-0138 Way:www 3190V I E N <br /> trslMV' n <br /> PERCOLATION TEST RATE C <br /> O ADD 7 <br /> :3RESSOR LOCATION: "Ie 4-/.L�.J, , C T (D [D <br /> M OWNER NAME: 4)-Z ill <br /> cm: STo�kTc,J I N �. <br /> •* <br /> APN: 1557 / 7<� DATE' O <br /> K-3�'-I'1 <br /> � APPLICATION X: N <br /> ty SOIL TYPE DEPTH TO FIRST WATER' S r+ <br /> k fD <br /> = REMARKS. rD N <br /> M 'r h <br /> p� O <br /> n <br /> r-F 7r <br /> � r-r <br /> O <br /> Ln LOCATION OF TEST HOLES tsHow wELLs ANp sreucruREs) <br /> rD <br /> C. --I PERCOLATION TEST SKETCH 1 <br /> PERCOLATION TEST SKETCH <br /> N• - 2-TN DI.A.PIVC PIPEPET <br /> 4-IN DLa.SOIL 2-PI nLa.PVC PI�ORING _ 1 ! IJ — <br /> 4-IN DLV SOIL BORING I <br /> LE no <br /> rD <br /> - - <br /> REFU.L HEIGHT 3• i -- i '__— <br /> REFILL GHT <br /> HEI <br /> � <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth I Soil Type I Depth I Soil Type Depth Soil Type Depth Soil T pe <br /> Test Hole#1 Test Hole#2 <br /> Parcel: I Diameter: y in Depth: 313 Parcel: Diameter: in Depth: <br /> TIME REAC'iNG WATERDR6F REFILLE7 TIIEE REAC;NG WATERDRc' <br /> /C oo nF I - 4.0.� <br /> qJi ,.)r) 3 51 <br /> il•oD 4.1b :5 J 73 <br /> ll.30 4.l1 <br /> 0.oc, 3 `!J --- <br /> 14,30 4,17 — <br /> i 30 <br /> PERCOLATION RATE: 7 ? min/in PERCOLATION RATE:—_ _--min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: —————-- <br /> TEST PERFORMED BY: _ L 1 CA � Phone: '9 eS_�1 S'c Date _'L_-' <br /> TEST CERTIFIED BY: _ Phone: __ Date <br /> OBSERVED BY(RENS):— Phone__—___--_—_ Date <br /> EHU 42-03 REV 1 12/09 PERC LEST RATEFORM CD <br /> t7 <br /> 000 <br />