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464-0138 Web: www Sjgov org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: -/q 9/ /J fOC,,T{-1 SA n/ TCg 5p_ 20. _CITY: /_RA Lyi -,!5-:3 <br />OWNER NAME ��, yry p Q R n!Z = <br />DATE: �F/�GyV(g�t�p 3y ZJ20 <br />APN: _ ,i O Q - ,'L � D _ ; -� APPLICATION S: <br />G EQ ti / DEPTH TO FIRST WATER: ^- }� Ft <br />SOIL TYPE: <br />„�Gsl 7` (' / A l/ <br />REMARKS: <br />LOCATION OF TEST HOLES 1sNow wal I A.--, <br />INNER <br />WATER DRO <br />P REFILLED24 <br />■■ ■� <br />■■■■�■■■■ <br />■ <br />■■�■■■■■■■■■�■■■■■■■■■ <br />RU <br />■�N ■ ON■■ ■ <br />■ <br />Test Hole # 1 <br />Parcel: Diameter. in I Depth—.;—Z,1---,n] <br />TIME READING <br />WATER DRO <br />P REFILLED24 <br />•- [r / <br />3o <br />a.2 .. <br />PERCOLATION RATE: / / 5. O min/in <br />RECOMMENDED SEP4AAW:TEST PERFORMED BTEST CERTIFIED BY: <br />OBSERVED BY (REHS <br />EHO 42-03 REV 11009 <br />Test Hole # 2 <br />Parcel: Diameter: in the in <br />YtKGUL.A I IUN KA I E: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone:_j&!g- •/G57.2 Date /SI_ 3p-a/� <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />x <br />O <br />O <br />ft <br />N <br />M <br />n <br />O <br />0! <br />i <br />O <br />3 <br />VI <br />N <br />Z <br />fD <br />rD <br />D <br />CL <br />CL <br />rD <br />to <br />LD <br />O <br />V) <br />N <br />sv <br />O <br />LA <br />rD <br />Z7 <br />CL <br />"5 <br />n <br />