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PocotArmasrunoi <br />omowomPto, <br />HADMATONTESTSIM701 <br />T.MmulmINCON <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: v•virw.sigovorg <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 2-`41(p E . Suco..rp, ViSTA Pb CITY: C C."11-5 <br />OWNER NAME: 1" Cis JILLIS DATE 6/7 3 /2.1 <br />Apw 01- I - 3-10 -7-1 APPLICATION A 5 9.../).0/3,3 -4-2 <br />son.r(pE Pa,-de,. cobbi (Oa., <br />REMARKS: <br />LOCATION OF TEST 1-IDLES,SHOW WELLS AND STRUCTURES) <br />C <br />11.61 6.18 <br />+ <br /> t . 6 6.35 = <br />LI <br /> 7E. _ <br />31- g <br />r-ri- r I II- <br />L... Li .1 I - .2.; <br />a." <br />Depth Soil Type Depth Soil Type Depth Soil T • - Depth Soil Type Depth Soil Type <br />0-2. .14- z 5 .5- -,- - 4.3s , .,. . <br />co Ids C.5. e2,5 <br />1.qo <br />Test Hole #2 <br />Parcel I Diameter <4 in 1 Depth: <br />Tess READING READING WATER DROP REFILLED <br />-4". 0 2. 19,- 4. <br />4..32 446 YO q •34 <br />l'oz ci.64" .31 q.2.1? 1:3Z 1.56 .25 q.2.7- <br />41:01 q.S14 .Z-• 9.30 4:72. 1,51 .z.,5 Iozoz. 9 cog .2.2. cl .31 to:32. ci , tig . 17 c1 <br />-digL 61.4f 2_1_6_ <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: (10- Dale <br />Phone; Date Date <br />Phone Date <br />PERC TEST RATE FORM <br />TIME 1 READiNG WATER DROP REFILLED <br />7:oo Pp.) - 11. ri <br />os- <br />1:oo I 11.z1 .02, 11.16 <br />1:3o 4.11 . oZ <br />'1 :00 4.2.1 - .03 11.16 <br />9:7o 11.r5 .c.52 _ <br />0:00 (.4.Zo .oz, Li. ii <br />10:3o zi.ti .oz <br />woo q.ti oz_ <br />157 61 minimn <br />DEPTH TO FIRST WATER: Ft <br /> Test Hole #1 <br />Parcel: I Diameter 12. in I Depth: 1.63 <br />TION RATE: <br />MMENDED SEPTIC AR <br />PERFORMED BY: <br />CERTIFIED BY: <br />min/in <br />RVED BY (REHS): fhttaist • Ohici..o. <br />3 REV 111249 <br />Site Address: 22486 E Buena Vista Rd, Clements CA 95227 <br /> <br />Record ID: SR0083872 <br />• <br />Date: 6/24/2021 <br />PHOTO # 1 Percolation Test. <br />Francisco Garcia Ruiz, Environmental Health Specialist Trainee <br /> Page 1 of 2