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Site Address: 3225 E Woodson Rd, Acampo CA 95220 <br />Date: 10/22/2021 <br />PHOTO # 1 Percolation test. <br />Telephone: (209) 468-3420 Fax: (209) 484-0138 Web: www.ejgovorglehd <br />jFog"y PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 3 F. wo J _, oyl i2d CITY: AG <br />OWNER NAME'. E(.�P�, %�'t-1 (1 ' 1 DATE: to/7-7-W-' <br />APN: OC)5-- I �{ 17"J11 t -{n 1 APPLICATION a: SROD$ L(Z 1'.3 DEPTH TO FIRST WATER: <br />SOILTYPE O.n Jam,I I- t^r <br />REMARKS <br />RMGW.PNYIfEtl jRfiLM - <br />� }� pPwW NC RCP <br />—IrL--I—�— <br />WELLS AND STRUCTURIL <br />.-.. .� .�--t-I--T' <br />Pf11iLU}I `ffSTW M i_T <br />-- / ro.wP .wc PiPP r <br />7— M., ,, . <br />Teat Hole # 2 <br />I Diameter tt2 inTDepth: 11 <br />DED SEPTIC <br />ORMED BY: <br />TIFIED BY: <br />BY (REHS)'. 11tp# re d % <br />I2= <br />Phone (2-092369- 03�5Date 102 2/2 I <br />Phone: Date <br />Phone (104 (d!c S07 Date _-b�:yL,• _.. _. <br />PERC :ST ATE FOP' . <br />Z <br />r <br />S <br />Record ID: SR0084273 <br />. Francisco Garcia Ruiz, Environmental Health Specialist Trainee Page 1 of 2 <br />