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v = o v_) <br /> o Om m <br /> n -4 . . D <br /> OC Q <br /> o k(a " <br /> a N of <br /> CD � . . <br /> : <br /> a) <br /> 0 � <br /> 3 <br /> N CD <br /> 7� m <br /> 0 <br /> 0 <br /> 3 C7 <br /> 0 <br /> UIN COUNTYCD <br /> 73 (D— <br /> 43 '-_ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 73 ENVIRONMENTAL <br /> 600 East Main Street.Stockton,CA 95202-3029 <br /> Telephone:(209)4683420 Fax:1209)464 0138 Web:vrwvr slgov rrplehd <br /> = PERCOLATION TEST RATE 00 <br /> CD ADDRESSOR LOCATON' I-[y Cl q l l G (�,� qq LZ <br /> OWNER NAME: O f I CITY. %i CGLM U <br /> APN' O Z I V�_._. 030 5G APPLICA71ONC SfZOQ<Q(YZZ DATE /ZjJj/J — _ 0 <br /> Cn SOIL TYPE (y <br /> _0 REMARKS DEPTH TO FWST WATER' --1't 3 <br /> CD _0 <br /> n - - O <br /> N LOCATION OF TEST HOLES tsltowwens AND steuclvREs <br /> ERCOL.ATION TEST SKETCH - t <br /> - - PFP1��1 ,11u'. fFSTSf.LTCI-I <br /> I _-1�nu.PVC PIPE <br /> UCREraLl�lctn `1 16-4 32 —._-- <br /> I -- I,1i I HEtcHr - — <br /> SOIL PROFILE(IF REQUIRED <br /> i Depth Soil Type Depth Soil T pe Depth Soil T pe Depth SoilType Depth Soil Type <br /> t CIG I S-i 2- -Zy.> rte, <br /> .�-rS r <br /> Test Hole#1cel: Test Hole#2 <br /> I <br /> Parcel: Diameter: 2 in Depth: 3.(40- ParDiameter: in I Depth: <br /> ITIM% REAOiNG 1NA1--RDFCP REFILLED Tile= REiziNG WATERDW-P R-H_l=_ <br /> UZ 3.qT ^ <br /> I1.32 3.qS = <br /> G:32 — <br /> I 10;02 3.115 — Z <br /> 1U;�2 3.ti5' — n <br /> If'32 3.1)5 — — <br /> Z;a2 m <br /> PERCOLATION RATE:�i INor�Lw.�aTEw1 l_minlin PERCOLATION RATE:_— __—minlin y <br /> RECOMMENDED SEPTIC AREA: __ RECOM ENDED SEPTIC AREA: 0 <br /> TEST PERFORMED BY: _ .fes_— �—---_ Phone:��9)3 69'03 5 Date 1 r�� i to <br /> _ Phone: _------- Date —_--- O <br /> TEST CERTIFIED BY: ----- ------ <br /> OBSERVED BY(REHS): �_ Phone_\ffiQ_._' _QA3�_ Date ?)II(tV z <br /> D42-03REV7112/09 PERCTEST RATE FDnM O C <br /> 3 n <br /> EH <br /> O O <br /> CDQ <br /> - a089 o0 <br /> (o <br /> O " O <br /> + 0 O <br /> (n 3 Co <br /> rt N <br /> rn CO <br /> rt 0) <br />