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Site Address: 5484 W. HIGHWAY 12 Record ID SR0080105 <br /> Date: 1/29/2019 <br /> MEAP Telephone:(209)468-3420 Far:(209)464-0138 Web: ,ww.Sjgov.org1eho <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ��'1 V� VV - CW��t � <br /> TT CITY: <br /> OWNER NAME: DATE: IU v�V cL lrl-( 2 ZE'( <br /> p {. 2� --� <br /> DEPTH TO FIRST WATER: F1 <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> IT III <br /> 11 � <br /> - ti� ��, <br /> ## <br /> I j 'i I i i I I .I I I �� : • �� r `ti�t� i l ! I I I_ I I <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type De th Soil Type De th Soil T pe De th Sol!Type Depth Soil T e <br /> Test Hole# _ Test Hole#2 <br /> Parcel: Diameter: in I Depth: Lin Parcel: Diameter: n Depth. n <br /> TIME READING I WATER DROP RFFIIILo 7il.':. R[ROIN(� 'r r'P'rVh Chi<�il' PI Fgl!I� <br /> 4 <br /> �� _ SII, t v .ls �_ •� <br /> S G o2 o,f`I <br /> wgSuq 0 , iv <br /> p 1L►s 4.2L 0, tt <br /> C' ? .v <br /> as 1215 I0. 11 — <br /> 8 b /'fid. PERCOLATION RATE: <br /> � -bd PERCOLATION RATE: � � minlin minlin <br /> g s RECOMMENDED SEPTIC A RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �� ��CA G (Y� Phoneme,�»�P �5£�cDate z1 ) <br /> — <br /> . 't y� TEST CERTIFIED BY Phone: Date T <br /> / a �i Z,-"I-lry_7�.5 t Date <br /> ��# ��yP�'• OBSERVED BY(REHSp /�SPS Phone <br /> � EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br /> Naseem Ahmed, Environmental Health Specialist Page 1 of 1 <br />