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Site Address: 23702 N Bruella Rd, Acampo CA 95220 <br />Date: 10/20/2021 <br />PHOTO # 1 Percolation test. Locations 1 & 2 <br />D uIN <br />1 Tele hone (209 468-3420, -._ <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />—11 <br />; • p ) Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />* PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 23 02 N. __CITY: ACawl D <br />OWNER NAME: T0 -ac y Clar k p _ DATE: (012.0/21 <br />APN: 00-4. — 3({0 -'0 I APPLICATION II: SR D n D 14 361'1 DEPTH TO FIRST WATER: FI <br />SOILTYPE' 501.E JoagL.in Ioa,, ttf ,k s Ar•�'a.ce. - <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTY Rhb) I <br />i <br />RTCOLATWN TEST SNETCX wPGOIAiNW i6t SIIETLx <br />z• wam.w we Poo 2• olmeur we vqe <br />--I 3,ip � --- -3,10 <br />� -- <br />-L 2.05- <br />- + <br />0 17- <br />ILI <br />i3 UM If •GO —�(.�6 <br />.--.� _._ .-, .� ._�--.--�-,--I �-...4- - T -1-1-T-1-1-1-1 I <br />Test Hole # 1 �"j Test Hole # 2 <br />Parcel Z Diameter n Dept— h- L, �`,-� Parcel I� Diameter: in Depth: 2.7-5 <br />�-- - I <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />:so <br />2� <br />>.do <br />•5g <br />10:00 <br />5•Il <br />53 <br />4.62 <br />1030 <br />5.0 <br />.115'�. <br />S6 <br />11:00 <br />.06 <br />•50 <br />S <br />:30 <br />5•Q <br />12:00 <br />03 <br />�!i <br />(4.�Z <br />12'•.30 <br />•01 <br />•�3 <br />`{•S <br />I :Oo <br />5.07- <br />-q3 <br />AT ION KA 1 t: VI <br />MENDED SEPTIC A,jEA: <br />RFORMED BY. /'✓� zcQ <br />RTIFIED BY: <br />✓EDBY(REHS): <br />REV 112109 <br />Francisco Garcia Ruiz, Environmental Health Specialist Trainee <br />IA <br />o5 <br />Iz:3s �t, s •�, ,.� <br />1: 05, 4.63 1 .O'f �— <br />PERCOLATION RATE: 27.'48 minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: (2,09) 3601-O3-�5' Date Ld ZO ZI <br />Phone: Date <br />Phone '302_ Date (DjU(( <br />PERC TEST RATE FORM <br />Record ID: SR0084364 <br />Page 1 of 2 <br />