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D <br />v <br />0 <br />Ul <br />O <br />O <br />Q <br />(D <br />v <br />3 <br />m <br />Cn <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�aF Telephone: (209 <br />) 468-3420 Fax: (209) 464-0138 Web: v✓ww.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />REssoRLocanoN: W Schulte Road <br />OVVNER NAME: _Prologue clTv: Tracy, CA, 95377 <br />APy: 209-25-010—DATE: <br />SOIL TYPE lean t0 fat Clad APPLICATION #: DEPTH TO FIRST WATER: 3: � p <br />REMARKS: Percolation test for future Septic system <br />LOCATION OF TT -EST HOLES Isliow wELLs AND sTRucruREs <br />P.r Teak Leutlom IPC 0 q ..a.... -. <br />r' <br />WA v� � <br />FFP] Fn- FF FR- FI-1 r� <br />r t <br />TOIL PROFILE IIF REQUIRED) <br />Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil T ef�Depth Soil Tvpe <br />I <br />Test Hole It 1 ' Test Holp # 2__ <br />Parcel: Diameter. @ in I De thein Parcel: Diameter. ­T1�7 in -i Depth: l— in <br />TIME <br />READING WATER DROP REFILLED <br />01 , " >r <br />t' <br />14.08 <br />� <br />Q <br />4: 7 <br />0 • ! " to <br />1 '015 <br />I' e <br />D --- <br />t <br />- <br />6,9(0_ <br />_ <br />PERCOLATION KAIE: I") y mlmin <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />SERVED BY (RENS). <br />RE." 1 293 <br />TIME <br />READING <br />WATER DROP <br />REFILLED fit <br />U. q1. <br />Q <br />it; 40 <br />A t 40 _ ' 5.521 <br />I%)0__5 +Il''_0- <br />_� <br />PERCOLATION RATE: V `' • 4 min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Data <br />Phone: Date _— <br />Phone. WC L Date L3 1_,_1 <br />FERC TESL' RATE FORM <br />81§2802022 <br />2$ If <br />0+1I <br />0 C3 D <br />O tv Q- <br />N con <br />(D W (n <br />7- L <br />(D O <br />CD N C� <br />O N G <br />!y C/) <br />O o <br />_ C <br />O 0 <br />6 <br />C <br />(D <br />Q � <br />n <br />1< <br />0_ <br />