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PCIUIN� SAN JOAQUIN COUNTY <br /> •9G\ <br /> -r - 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 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: `u 1 L J r r l It I�.0 Y<d'�A CITY: 7 Gt1�"1 _ <br /> OWNER NAME: lent C ` L:•� 'r:y L.�� `+.1 1. J� !1,;+� :�I:tnrn I L�h_DATE: 61,01i--LA <br /> 1 ( ! 9 <br /> AP N: 2.5 CC, JJ APPLICATION#: S Y�UL'U o I DEPTH TO FIRST WATER: UL Ft <br /> SOIL TYPE: <br /> REMARKS: /( z Ti tiT �•e �!'Gt l i r i <br /> Yl <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> - r I a i • �—i�'- � I '- <br /> vl� <br /> 3 <br /> % <br /> I I <br /> t <br /> •. -: -tet. + S ! s_ <br /> 1 1-T <br /> Hd - i <br /> 3 S 3 <br /> t p <br /> i <br /> - � ;-71-17-11--TTI i <br /> TT <br /> - -- -- —1--j— �--�-- _ - — —ri � <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type_ Depth Soil Type <br /> Test Hole# 1 Test Hole #2 - <br /> Parcel: Diameter: in Depth: in I Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WAT9R DROP REFILLED <br /> - <br /> - ——� -- -- <br /> cam. 0 .2 3 .2 0 -- - <br /> ,� ° J a 0� <br /> �s s fl 0. 2o o <br /> PERCOLATION RATE: 6 min/in PERCOLATION RATE: 0 9 min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC ARE <br /> TEST PERFORMED BY: o /�u —� Phone: 20 Date '6'L12 Z <br /> TEST CERTIFIED BY: Phone: It `? Date <br /> OBSERVED BY (RENS): �;:(�<��; ,� I�G���L Phone Date qlq,l u <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />