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JAN JDAQUIN l.OUNT Y <br /> F VIRONMENTAL HEALTH DEPAF 1ENT <br /> $00 East Main Street, Stockton, CA 95207-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> `•R'DORESS OR LOCATION: ;;19 L�` 7 S, L,-h m B v-, R U CITY: I lra Cicrl Cd <br /> J <br /> OWNERNAME: Hm.I aobe"SeArn DATE: S" L•l ,S OlO <br /> APN: alB- 330 -I V APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> A, a LJila rr� It L <br /> I <br /> 1_1 FTT TT <br /> �L PROFILE IF REQUIRED) C. r <br /> Depth Soil Type Depth SOdTvDe I De th I Soil TvDe I Denth I Soil Tvna I DarAh I Soil Tvimim <br /> Test Hole 91 1 Test Hole#2 <br /> Parcel: Diameter: in I De the in P I: Diameter: in Depth: In <br /> TIME READING WATER DROP REFILLED T READING WATER DROPEFILLED <br /> 1 1 / f / <br /> t <br /> t / <br /> r9 r r <br /> 1/ f <br /> 1 � <br /> f f <br /> •f . f <br /> ./ <br /> r tto <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min In <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ` STPERFORMEDBY: Phone: 2O4 364-d57/— Date <br /> TEST CERTIFIED BY: Phone: ap!2 ��9 Ji71"Date !U <br /> OBSERVED BY (RENS): Phone Z 0 9 ?n 7o'98 Date 517/!YZZrva <br /> EHO 42-03 REV 11/200 PCRC TEST RATE FORM <br /> T,rP _ Sfir� rz•i� <br />