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,; _"•.,t SAN JOAQUIN COUNTY <br /> - f ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ti Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ,1 PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: - ��� �S VA Pr' A G L rxi P_0. CITY: <br /> OWNERNAME: f /. 7-RU-5-r" DATE: Fl"?Z;rAiL /Z� R°p1-3 <br /> APN: Zo5 D S Q- /l r j APPLICATION#: RA - l3 o oo 2 4 DEPTH TO FIRST WATER: "'9O Ft <br /> SOIL TYPE: 114 IV <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i <br /> F1M <br /> * i : <br /> i <br /> e <br /> i <br /> < <br /> I <br /> y <br /> : <br /> i <br /> F-HTTI-1 <br /> 333 111 �� ......... [--.E], ,� -7, <br /> — <br /> • <br /> � r <br /> f . <br /> SOIL PROFILE(IF REQUIRED) CL =LrFA.0j44- . /+oc OGT 3sir= 5A ND R-,b P,q <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T e <br /> '- ' CL h4 P <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: ' in I Depth: -3& in Parcel: I Diameter: <br /> in I—Depth. 7oZ in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> O/ 3,40 ' D: v S, 2 <br /> do' <br /> 3. <br /> o i / A &S <br /> 1 31 r. �570 - <br /> 1, rB — 12, o 5.2 B ,l2- <br /> 9..5-7, n 3 2_r' <br /> 0 3'('0' 0, .3& Z :OO ',fix DI2 / <br /> PERCOLATION RATE:, 5 min/in PERCOLATION RATE: 250,O min/in <br /> RECOMMENDED SEPTIC A A: E Po T- RECOMMPNDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: OL/ �_ Date 7_4 i /3 — <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHSVPhone Date <br /> \J- I tttu� <br /> EHD 42-03 PERC TEST RATE FORM <br /> 7/9/04 <br />