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SAN JOAQUIN COUNTY <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> k PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1-2-OW1 2>Lo SSorM (2,o . CITY: <br /> OWNER NAME: GortloPhSS/ PA'¢T pe;:- DATE: 3 - 2<) - / -7 <br /> APN: 0.30 -y/ f* L 3 APPLICATION fi PA M000/%G DEPTH TO FIRST WATER: �Ft <br /> SOIL TYPE: /yO W&Lld O2' S7yC^)C-Z.)fW3 Wrf1-F r-+ /cpm -p�1{f <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> FT <br /> m ...�__�r-r�l: m _rT7__FT <br /> _ _ : 1 � - <br /> _ 41� I i—.—F . <br /> I + T � <br /> I - <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type_ Depth Soil Type I Depth Soil Type I Depth SoilType I Depth Soil T e <br /> ' Test Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: s in I Depth: I Parcel: 2- Diameter: a in I Depth: 9z in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> :0 2 �3 <br /> �o° <br /> :00 2. ,off :03 2,1V �, <br /> 30 2.99- oL : 3 7.a` •01 <br /> ' lD:oo <br /> 3 ,os o .'o3 <br /> ,aS o: 3 <br /> 2:00 3. s G j2:v3 2 <br /> ' PERCOLATION RATE: 2 ' min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: 12100" <br /> TEST PERFORMED BY: MIK& 7b Phone: 33y-(�,61i Date 3-W, 17 <br /> ' TEST CERTIFIED BY: Phone: 7 Date <br /> OBSERVED BY(REIFS): Phone 4�K65`-3i'K3 Date ^3 20 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br /> AJIA //'33 <br /> 7 -W_ — ./� _rte 12=v. Z-b2 — _/V ' 6?vb <br />