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COUNTY <br /> ENVIRONMENTAL <br /> i <br /> SAN .IOAQUIN C , <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0338 Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 12& 3a S 5OaT1,1- AGrST//V�19fL 0 CITY: <br /> OWNERI NAME: Mg , 26Vtp GLC.NN1m(M A M DATE: L[ 2009 <br /> APN: - 1,5- APPLICATION M PA-04- la(Mi) _ DEPTH TO FIRST WATER: Ft i <br /> SOILTYPE: <br /> REMARKS: rL A --5/ ATS D M <br /> LOCATION OF TEST S HOLESHOW WELLS AND STRUCTURES <br /> f' I i <br /> �k--- 4-4----._......_.i.TL_4"..-1—___.... <br /> � s - <br /> Y <br /> - �.--____... .___.,_ _ <br /> - 3 <br /> _ r - <br /> _ � �FT-17-1. �� rel- � r�_._��r=r�r�r�n <br /> -1 l 1 - E 1 1 [ --! <br /> . L <br /> No far APJb C =L-ANGLA ML= 51 LT <br /> SOIL PROFILE IF REQUIRED S = S,a s r�.� s <br /> Depth Soil Te Dth Soil Te Det Soil Type Depth Soil Type Depth Soil Type_ <br /> e h <br /> •• S m m c� <br /> I <br /> 36"-.40" rn>rrirE5 1 L S N PA 1J <br /> 4o­_ m <br /> E <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: DRI Diameter: 4, S in I Depth: in Parcel: D Diameter: 4_S in Depth: in <br /> 44 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> O 3.0 2 i 2 '' r <br /> ' <br /> 2 &,11 A 6, 0"" 1. te ig' , o/ iZ. <br /> i // -7 o / 23' -340 <br /> zd <br /> 00 <br /> PERCOLATION RATE: <br /> Z minlin PERCOLATION RATE: /O,0 minlin <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: �/� da.?� Date <br /> TEST CERTIFIED BY: Phone: T Date <br /> OBSIERVED BY(REHS): Phone? 7 �i5J76 __ Date d <br /> EMD 42-03 P£RC EST RATE FORM <br /> 7!9!04 l <br /> J <br />