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Address: 22770 Frederick Road, Ripon <br />I 1868 East Hazelton Avenue, Stockton CA 95205-6232 <br />•.,, Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: Wvnv. slgov. org/end <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: <br />127'10 `F <br />2Z�y Z3S <br />o0 5• i-REDEa-t K Cm: Al FD <br />OWNER NAME: r i LCEI.J Kull– DATE: R A/Z -L _ — <br />APN: 724— 130 - 2-1,24, %1 APPLICATION #: DEPTH TO FIRST WATER: _Ft <br />SOILTYPE: 'iINNIN tOfttM4 [ohP-SE SAND / t-fIS6/1N1 LOAtj COA ShN� <br />REMARKS: - <br />I ti D� <br />I <br />0 6 L� 6 <br />.I <br />2.23 <br />] n,r Ra x <br />I-�I�I—f7—rl�l� <br />I I <br />)_ ]air rr <br />_ Test Hole # 1 _ Test Hole 0 2 <br />Paroel: i Diameter. in I Depth: ZPar <br />. C., I Diameter, in I Depth: <br />TIME READING <br />WATER DROP <br />I REFILLED <br />l(_30 <br />ii:oo --Dry— <br />>.-4- <br />— — <br />12:30— <br />I :q0 r <br />>.65 <br />4 <br />I : Co <br />> . St <br />`i. t <br />I:a <br />.60 <br />l:lo <br />5' <br />3 I <br />P;3. <br />— <br />. I `I - minlir <br />NDED SEPTIC AREA: <br />'ORMED BY: <br />rIFIED BY: <br />BY(RENS): A2A$-E`6-i.+ <br />til^'09 <br />0, <br />PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone:[ZOq) 36�j -O7 Date Cf cI Z Z <br />Phone: Date <br />Phone 129 - In I Ir Date <br />PERC TEST RATE FORM <br />Naseem Ahmed, Registered Environmental Health Specialist <br />Permit: WP0042922 <br />N <br />N <br />w <br />w <br />r <br />h <br />Lj <br />