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a.aui. <br /> `4 <br /> NVIRO"ENTAL EALTH EPARTMENT <br /> 1e68 E.Et Hazelton Avenue.Stockton.Cq 95205-¢232 <br /> r.Hpnone:f2D9>Ae9-_L20 Far:(20Q1�6Y-0138 Wab: <br /> "q"M'.ggav Drglene <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION._—_ f,.V <br /> owNER NAwe __ •, :: ctTT �„-.,o<, <br /> APN: !9 20/''1 <br /> SOIL TYRE DEPTH TO FIgbT_TCR- <br /> RBYARKS. <br /> LOCATION OF TEST HOLES(SHOW WELLS ANO STRUCTURES <br /> I — r - <br /> r <br /> i <br /> _ SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Ty.2e Depth Sol T e De th Soil T e De th Soil T De th Soil TvDe <br /> J, <br /> __,.. Test Hole#1 Test Hole#2 <br /> Parcel Diameter: in De the in cDiameter in De th. to <br /> r Parel: ame— <br /> ' .I <br /> T�IE READING <br /> nWATER DROP I REFILLED _ TIME READING WATER DROP RE-ILM <br /> ! <br /> 9 ¢ <br /> 2� z7, <br /> 4?„ w1.ly ' ?. 2' 2 1 <br /> o' <br /> 0 O a .2 O <br /> PERCOLATION RATE: - 1' 7 minlin PERCOLATION RATE: minII,n <br /> RECOMMENDED SEPTIC A: RECOMMENDE SEPTIC AREA: <br /> TEST PERFORMED BY Phone.oZ09-4ol -/6 5 a Date .3 <br /> TEST CERTIFIED BY Phone: Date <br /> OBSERVED BY(RENS) Phone 46$ Date <br /> EHO 42-03 REV 11!2109 PERC TEST RATE FOPt! <br /> g � <br />