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PQ"' ." <br /> SAN JOAQUIN COUNTY <br /> ,o.�.�o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ' Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> -79 <br /> F'ORaIr s 1 � •r�/�hd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 292-01 SOG(7g I�Ai(.rA 12 i• CITY: 7�--A C y TS3o4 <br /> OWNER NAME: AmOS �-U/2n /W/$ cPnz DATE: 7An/( V Z2 , 70/S <br /> APN: Z!�-2 -0 fe; /2 APPLICATION#: rA 1,4(1c) /!)3 DEPTH TO FIRST WATER: rl / S Ft <br /> SOIL TYPE SE r E.u71y <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> .. ... _.. 1 i • ..... .. I <br /> I i I I _...... <br /> t <br /> rt <br /> F-1 <br /> I F- <br /> ri. <br /> I a -r ...1•-.• <br /> 1— + <br /> S <br /> i <br /> 1 : <br /> t <br /> t . <br /> tt ; <br /> - <br /> I <br /> SOIL PROFILE(IF REQUIRED) el = ZFAA1 CL.A I +'1L <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 <br /> Test Hole#2 <br /> Parcel: A Diameter: 4,�;- in De the 1 2 in Parcel: Diameter: 4, , in I Depth: 4 y in <br /> I <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 8 ') o �" S ' __ 0 3• Za ' <br /> �o 15a <br /> : 3 3.go, 3. 4 3 ' <br /> S or � •S / Z� <br /> : 3S <br /> od 3r ' 3,2 3' S is of 3 -> '' <br /> 30 31 0' 3.a " �.s <br /> 1- 21 <br /> ' f9' <br /> 2�2' 3-0 " 5 <br /> PERCOLATION RATE: /D.0 min/in PERCOLATION RATE: �. min/in <br /> RECOMMENDED SEPTIC A EA: CPC'riT— RECOMMENDET SEPTIC AREA: SEE KFPo,er <br /> TEST PERFORMED BY: Phone: 10 1. - 2 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone go 761fe Date <br /> EHD 42-03 REV 1112/09 <br /> PERC T ST RATE FORM <br />