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Pq�IN. 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ZZ'7SI �' AAaNF--( I'' jF- CITY: Loo' <br /> OWNER NAME: Foer_-'+T /4A-T74yS00l DATE: IZ- <br /> APN: 067-640-of, 03,0& :07 APPLICATION#: PA- /3-90 DEPTH TO FIRST WATER: Ft <br /> _ SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> } <br /> ._• - y. _ .1 � L..__J L_-.- - -i-{ L--.f-f i-.i-1 t-.--i--i--f--s--- --s--� �--_i_-; ___i-i i-._:--! - '--I <br /> F-0 <br /> } <br /> t <br /> ; <br /> ~ [P <br /> ....' <br /> I Ll I [ L] <br /> i ! _ <br /> F. <br /> 1 1 I 1 1 I 1 I _r] r � I 1 I 1 1 I <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil TVpe Depth Soil TVpe Depth Soil TVpe Depth Soil TVpe <br /> Test Hole# 1Test Hole#2 <br /> Parcel: Diameter: 12— in I De the 2- in Parcel: T Diameter: in I Depth: in <br /> - TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0:00 2,S/ ' <br /> g 30 2.6/ ' .io <br /> - ov 2.67' .0(e <br /> 2 . 74' o7 <br /> /0 .00 2.So' <br /> 10.30 2. 90 ' io <br /> /1 . 00 3 . oo' do 2.(�0' <br /> 11,30 2.7o ' ,/o <br /> PERCOLATION RATE: 2-3 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: (?= :2E000 � RECOMMENDED SEPTIC AREA: <br /> TEST PERFORME BY: MIj_:-� TW Phone: (moi) 33¢"6613 Date l2' 1e"-13 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REH ) u /'' Phone) y 73 Date /z <br /> PER TEST RATE FORM <br /> EHD 42-03 REV 11/2/09 <br />