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Dt,A�I!Y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> %koat' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /7000 SOUTH corncoA/EX ROAD CITY: /4(AAITECA 95334 <br /> OWNERNAME:AME2ICAM (2RA.,gs 2F_NTAL DATE: .TuNo 2.44 20(L <br /> APN: 1010-/180-23 APPLICATION#: Al DEPTH TO FIRST WATER: ^� 3l� Ft <br /> SOIL TYPE: 515� OeL.Olhl <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> .fir — <br /> �F <br /> I I <br /> 1i - - <br /> 3 [ <br /> ' 3 <br /> ��j <br /> ...� � t 9 ! � i i <br /> T U. <br /> r th <br /> i <br /> I , <br /> SOIL PROFILE (IF REQUIRED) SWI= S itry FjlvE SAND rM t-= 51 i-T A P=CEMENTED SILT Arz PAN <br /> Depth Soil T Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> SWI <br /> 21- <br /> 4'- , P <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: I I Diameter: in Depth- Z in Parcel: I Diameter: in Depth: 9 in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0:0 47 /0f02 ,S ' <br /> 10:3 0 3. ' . 03 0: T_ 0,00, 4. q2 " -7-4o , <br /> /V00 3.6,o ' &,941 '3, 06 s 0Z a,05, 7. Oo" ' <br /> / : 3 0 3, o ' &a 11 3, 0 3 2 8.05 .zo" 7 0' <br /> 00 . 54' <br /> -3,057/ o i 9. 45' <br /> /2 . 30 3. ' " <br /> Z . /2; 3z 71 gq ?,SSS <br /> /: 00 S- 31, 57. 1011 3' 0'5' sa7- 0,00, 4 s' <br /> 2: 00 t' •' 2.0700 4 3Z" <br /> PERCOLATION RATE: 5, 0 min/in PERCOLATION RATE: /O. min/in <br /> RECOMMENDED SEPTIC AR E RECOMMENDED SEPTIC AREA: 5FE /2EPotzT <br /> TEST PERFORMED BY: Phone: �Z-/6S.7_ Date (v - 26 /2- <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS). Phone <br /> EHD 42-03 REV 11/2/09 <br /> /. <br /> /- 30 3 Yom- ado"-Z_�r� ��_ •�/= ,� _ PERC TEST RATE FORM <br />