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Ag9!N SAN JOAQUIN COUNTY <br /> �O.�E.CD <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .y <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Qq�;FORN`P <br /> nCP// eA! PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CA793 O RTM 6145"kEF— G�A NE CITY: ZOP/ ?,5G•3 Z <br /> OWNERNAME: G, f3fJ/✓!/ DATE: 1111A&eg S Z®/g <br /> APN: I)d 5 — /I d 13 APPLICATION#: /y 44 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: lO ST,gN()lit([� WAMZ� /N E17-14F-1Z 2:F:--,57- AFT7 24 AR 50A-LMRlD)p <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i ! <br /> ...'S <br /> F i ?-< ) EF I <br /> t-.—I— <br /> _ <br /> ........... ....... .......... <br /> L_+ <br /> ` a2 : 3 i i 5 <br /> � x <br /> _ Y—€ - & <br /> ' e <br /> ........... <br /> s <br /> -El <br /> 4-- ( - <br /> 111 <br /> _ § <br /> 11 L7- <br /> SOIL PROFILE(IF REQUIRED) Lp p <br /> Depth Soil Type Depth Soil Tvpe Depth Soil Yype Depth Soil Type Depth Soil Type <br /> n a Sr1'i ,_ , <br /> m <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: in -Depth-. 4 2 in Parcel: / Diameter: , S in I Depth: 13?, in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �' - / O <br /> 5 '0. 26n / 17 <br /> ;0 , <br /> D, 3 D:a/ , 92' <br /> / I: 0 x_13 D. <br /> PERCOLATION RATE: g 3. 3 min/in PERCOLATION RATE: 2= 7 min/in <br /> RECOMMENDED SEPTIC A A: P RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:-209-4-oz-(66-.D- Date / <br /> TEST CERTIFIED BY: Phone: Date _ <br /> OBSERVED BY (REHS): PhoneT6 0�-1k S-1 Date <br /> EH 42-03 REV 11/2/09 PERC TEST RATE FORM <br />