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P.I SR0083250 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www spgov org/ ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: I -3 E CITY: AC-MN/LP° <br />DATE: 3/1 72- <br />OWNER NAME: ,A-szr-ri} le_ o (.._ c.s-jv e‘ <br />APN: 00-1- - '-ho APPLICATION X: SR-00g32-S0 DEpTH TO FIRST WATER: Ft <br />SOIL TYPE I.. /-t.C,11 4 Sovt f•-7064,v, l'ufr.4 ji. 6 <-71---../c- 0., <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />— <br />PERCOI.ATION TEST SKETCH ¶!--1 E_ PERCOLMION TEST SKETCM <br />Diantirler PVC Pipe r Diameter PVC Pipe <br />air grape <br />C 2- ct.ci <br />-I <br />- <br />De h <br />0 - I <br />1.5"-- 5' <br />Soil T <br />1 52 <br />Test Hole # <br />Parcel: I Diameter: 4 Parcel: in De th 3.31- <br />WATER DROP REFILLED <br />TIME READING WATER DROP REFILLED <br />3o <br />00 Gi 6 Z. <br />min/in PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone. L(.2.212525•5-1 -C)3 Date it2-t <br />Phone: Date <br />Phone 201 6 - 3 D 1 '1 Date <br />PERC TEST RATE FORM <br />a) <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC A <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />END 42-03 REV 11/2/09 Aldara Salinas, Environmental Health Specialist