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E <br /> r) C) <br /> QI ,N SAN JOAQUIN COUNTY <br /> 2 i ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: [ <br /> 600 East Main Street, Stockton, CA 95202-3029 <br />` 7. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE Qr <br /> ADDRESS OR LOCATION: I197S A , 7A CA:, %OJJE ROA D _ CITY: L� <br /> OWNER NAME: Mie C�rag4.t /VA1.1AS _•,,,• DATE: I/ / .. 2O(D <br /> APN: O!O 2IO APPLICATION#:-_PA - IO19Ofl 7I (lV31) DEPTH TO FIRST WATER: ��7 Ft <br /> SOIL TYPE: sFF' 5 LG <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> .F ! <br /> r__ rP <br /> A 14, <br /> 4 5 <br /> L. . ...� I ..1 ..... ._ . .1 ......I <br /> . u <br /> e <br /> i <br /> SOIL PROFILE pF REQUIRED) Orr/-0,26,4 N/c A CL=LEA e4A VAIL=Sid r' A�a Sri-T` <br /> De th Sail Type Dept Soil Type- Depth Soil Type De th Soil Type Depth Soil T e ' <br /> a <br /> - 4' 49,-"l <br /> 4AaSir 8—/z' ems. Mz_ <br /> Test Hole# 1 Test Hole#2 _ _ <br /> Parcel: Diameter: b,p in De the in Parcel: Diameter: e* in De the l3 in <br /> i fr <br /> _ TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> - - <br /> 7-0 <br /> �I Z:ao z,��!____ --��'' ---—� � :n z 7•as ' o. l z ,, <br /> PERCOLATION RATE: ?L7 minlin PERCOLATION RATE: Z;SD• D -!minlin <br /> RECOMMENDED SEPTIC A A: EP woo.V JV., oF� S RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED 13Y: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY Phone _ /�! Date <br /> y EMD 42-03 REV 11/2109 FERC TEST RATE FORM <br />