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SAN JOAQUIN COUNTY ����f��� <br />o ......... . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd AUG 0 8 2018 <br />- Q�[�,( "� j,PERCOLATION TEST RATE ENVIRONMENTAL HEALTH <br />ADDRESS OR LOCATION: ��yV V I✓6trMIr\CJ10#) \O�il� CITY: �rQC� PERMIT/SERVICES <br />OWNERNAAM�E: � \c\1wS / DATE: �J" �,b <br />APN: Z�' �V —06 APPLICATION #: SR O 73 DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: S k �-� - ML <br />REMARKS: 1 13O i�-5-31 <br />P <br />i <br />1-_ I T_ I I-11 _�- tl U -I .I <br />1FI- 1-1 - _i I_ 1_ I I I 1 <br />,UIL PKUt-ILL (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />Test Hole # 1 <br />Parcel: Diameter: b in Depth: '3& --in <br />TIME READING <br />S'.0013 s" <br />S'so - t AV" - <br />WATER DROP <br />REFILLED <br />a D <br />- a,0" <br />- 14,01, <br />16.0 1, <br />1voij <br />i '161R51i <br />� Ir <br />Ib,v'' <br />T00 1it.at, <br />w!.�,0 <br />Iv:vo <br />a,0" <br />a.0yt <br />1 u�.3o , a,►�5" <br />11.OLD tai .25'' <br />1 t 30 jA,R51I <br />� ,BSS,._ <br />Oatl.oy - 14.25" <br />1.151. <br />kid .01, <br />FRCnI ATInN RATF• min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): _ <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: in Depth: in <br />TIME READING- - WATER DROP REFILLED <br />- I <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />