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oPavin. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> P <br /> t;FokN PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1&10111412,15- VV 6 ST LT2sWT" L/n!,� ROAD CITY: Tk 6f_4 9530 4 <br /> OWNER NAME: �agD WAP' l Glt/Z /VAn/AW- PARKASN DATE: _TLA Ly 171 ZD(Z- <br /> APN: 209- '!70- 33 APPLICATION M FA - lOOU2.1 7 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> - - <br /> L—} <br /> M]­. _ <br /> _II1II ,11{1a �''',� 11't�—SII{, II{''�1}11 t <br /> 1 V .-.. t <br /> i <br /> P ' T <br /> � - 9 <br /> r <br /> _r ...- I t I_._I 1 IT- ( �__ !_� <br /> F—T <br /> i <br /> SOIL PROFILE IIF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type <br /> Test Hol # 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3& in Parcel: Diameter: in TDiepth7e in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> i <br /> / o <br /> 1015- 30 D, " <br /> 3 / <br /> 051 <br /> S 3./0 ' O. bo" <br /> S rr 3. ag/ <br /> 2 3. ' 0. <br /> / '•r5- 3.0 � p, �' — <br /> PERCOLATION RATE: (o2. 5' min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AR SEE REPORT RECOMME ED SEPTIC AREA: <br /> TEST PERFORMED BY: / Phone: -/(v%2 Date 1-/7- /2 <br /> TEST CERTIFIED BY: / Phone: Date <br /> OBSERVED BY (RENS): Phone -2o 3 76 fd Date <br /> EHD 42-03 REV 11/2/09 1ERG TF6T RATE FORM <br /> // /7//2 <br />