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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •'. r. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> /FOR PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: � � S"y fW.A&1 EtZ�•. �id17 I�r�CITY: <br /> OWNER NAME: L-(--, �4�v�l c� N Co. C/,/O (--Sz jy��•d`�+E G 0 — 1' —Ie <br /> ' APN: 065 -/00 " 0$ 1 7-7 (CATION#: 1©A- -1 -70o /90 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: -38 <br /> REMARKS: <br /> 1 <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> ---3-�i-- <br /> a <br /> r ..... <br /> _ _ ETI <br /> ELEELL <br /> Ll <br /> Z in _ _ I - - <br /> . .._.�...-� ._.�.... .. ,._�.. i I rn._ r�.._�_..... �.... <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> rTest Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: 0 in Depth Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 30 d0) <br /> r (a -. 50 r f ► <br /> I a <br /> Z : uO <br /> ' PERCOLATION RATE: • min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: I ZIOW RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY:.)06 -AuL,—D 4 Phone: Date <br /> ' TEST CERTIFIED BY: 41 Phone: Date <br /> OBSERVED BY(RENS) ���`i1a:� L ti .3� Phone� nq r� O Date 16 +I r l <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br /> r <br />