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CA 95205-6232 <br />Stockton, sov.org/ehd <br />1868 East Hazelton 464-0138 <br />Avenue, <br />'• Telephone: (209) 468-3420 Fax: (209) <br />Web: WWW -j9 <br />• �q .: PERCOLATION TEST RATE L owl <br />�IFOLa <br />rsrtt►z �b • <br />CITY: Q 23 Z Z <br />132-1 U "J G^u�A DATE: Ft <br />ADDRESS OR LOCATION: YY\O�-TN- r <br />VL\ �J 1CLP\ `(� �,/� DEPTH TO FIRST WATER: � <br />OWNER NAME: Z O ' I APPLICATION #:w��-- <br />APN: d (9 3 ' T-,Aq CA< Sv R—t tt C <br />SOIL TYPE. <br />u Qv� ti ly h VIN <br />REMARKS: <br />TION OF TEST HOLES (SHOW WELLS AND STRU <br />— PERCOLATION TEST SKETCH <br />2- Diameter PVC Pipe <br />Z Lic?— <br />u It <br />e I <br />-r—; Refill L,vet: K • 3 2 � �(. `� g . _ _� <br />SOIL <br />Soil <br />'% 0111- i <br />Test Hole # 1 <br />Parcel: ( Diameter: in De the Z . <br />L�T�uEREADING vvNi�n vrcvqD� — �Jl <br />9:3o I <br />12.00 <br />30 <br />1 to Li. <br />.3 <br />4.'33 <br />; 0 <br />P2 <br />�:so �(.SG <br />•Z3 <br />4.32 <br />12-:4 5 <br />TION RATE: <br />ENDED SEPTICFORMED BY: <br />TIFIED BY:DBY(RENS): <br />KE <br />V 111210(i �— <br />q. <br />qQ minlin <br />—r PERCOLATION TEST SKETCH <br />I <br />2. Olameter PVC Pqe i <br />_ <br />0.1T gravel <br />i <br />Refill Level: <br />I Tvi)e De th Soil T jpe Depth Soil T <br />Test Hol�#2-- <br />r.. Parcel: DiameteDepth: <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: C-209) 36q-034:!VDate 23 22 <br />Phone: Date <br />Phone T-DPt 6d 6 3 O Date <br />PERC TEST RATE FORM <br />