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oe" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0938 Web:www.sigov.org/ehd <br /> PER= ATION TEST RATE <br /> S3 �./c ��, <br /> ADDRESS OR LOCATION: 6'j <br /> J <br /> OWNERNAME: W 1'� � A Cyd Se''J DA-E: I / f 9/ O8 <br /> APN: 7.O bye b 'I1� APPLICATION U{: Not w'r A Cf . 3EP'4 T.'.FIRS'WA?ER: r Ft <br /> SOIL TYPE fw Jr� [• IC <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND 37RUC JR£S <br /> ri rt] FT-1 FH Ij -FF1 14-01;1 Ffl M PF W-Z IT <br /> ; I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil T e De :h Soil Type Depth Soil Type <br /> DePth Soil Type tfi Soil T <br /> ype <br /> Test Hole# 1 Test Hole#2 <br /> -- <br /> Parcel Diameter: _ - __ - - — - --T-- - - <br /> �•� in the � in Parcel: Diameter: O in h:r1-0 in <br /> TIME READING WATER DROP HEFlLLED TIME READING SDROPZ� REFILLED <br /> 914 <br /> -7. /0 0 . 5_ � 6 6.q q l �v�� <br /> Cf 1-f g G es o ,QsF+ c sB 454 ±9. eta <br /> 4o) g 6 .97_ o .3q � , 6 60 _ u_ 4._91 _ 49f1 q, 9y <br /> 10+.9 L 7- 0. 37 IFT. C•59 -q a_.�.I E`t 9,40 <br /> ll(g 6. 97- . o . <br /> n �$ c q0 _ .ya IT <br /> +�s$ 6.1t o <br /> 31 f�f <br /> 'ERCOLATION RATE: Z CI minfin PERCOLATION RATE: 60 minfin <br /> ?ECOMMENDED SEPVC AREA: RECOMMENDED SEPTIC AREA: _ <br /> EST PERFORMED BY. Phone: leg -771-3(s!j{) Date d <br /> EST CERTIFIED BY. Phone: l-• -771.31+1) Dat <br /> 9e N <br /> )BSERVED BY (REEFS) Phone 707 `?5 76ft Date U 49 _ <br /> HD d�-OJ <br /> �'a° ARC TEST RATE FORM <br />