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1 +n. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 w ` 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> `rFOR+ PERCOLATION TEST RATE <br /> 1 ADDRESS OR LOCATION: CfOy N CG,IV CITY: <br /> OWNER NAME &WIV 01 *AA6' DATE: 7- z <br /> 1 : rr <br /> APN: 'i�S' d,�O — J�S - r•� APPLICATION#: :� Ou•- DEPTH TO FIRST WATER: fE <br /> SOIL TYPE: <br /> REMARKS: WD 1R O✓ C' <br /> 1 <br /> LOCATION OF TEST HOLES SHOW WELLSANDSTRUCTURES <br /> JF� <br /> - � __ _ _ _�-�_ ice_ �_ <br /> SOIL PROFILE(IF REQUIRED <br /> 1 Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 1 Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth V I ParcelDiameter: in IDe the yz- in <br /> 1 TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ..� 2.' <br /> 71 <br /> 2.4969 008 ;e3 ;2.13w— . 0.5" <br /> 0 3,2-1 2.f-y- .ns. <br /> LL <br /> o .06 /� 3 3•� <br /> 3x //;of 3. 7 •:�e <br /> 1 p10 2"7� ors N•33 2 .� <br /> 1 PERCOLATION RATE: -2--4 min/in PERCOLATION RATE: Z minlIn <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> 1 TEST PERFORMED BY: 1A 1Phone: Gt9q) DY-Li'/3 Date <br /> TEST CERTIFIED BY: 5 Phone: Date <br /> OBSERVED BY(REH Phone 4 68 U 3 3 j Date -7 /2 Li <br /> 1 EHD 42-03 REV 11009 PERC TEST RATE FORM <br />