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oe4 tn. 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 /> �y <br /> PERCOLATION TEST RATE J� <br /> ADDRESS OR LOCATION: �O ` 1 W CITY: Ay.0 I'� n <br /> OWNER NAME: �p N DA �r �I�— <br /> APN: - APPLICATION#: 1 /T I I t A C1 DEPTH TO FIRST WATER: _Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type I Depth I Soil Type I Depth I Soil Type I Depth I Soil Type_ Depth Soil T e <br /> i <br /> Test Hole# 1 __ _ Test Hole_#_2_ <br /> Parcel: Diameter: ni De Dept 10 in Parcel Diameter: (v in Depth: 4f 2 1n <br />• TIME READING WATERDROP _ RLFILUCI TIME READING WATER DROP REFILLED <br /> ! <br /> ilto� (D!45 -,40 D <br /> I; 217. L3 11 ;; 5 5, q-67— v <br /> t2: s_s zs 2too 1, Y <br /> ! : �2D . 71 2_3 <br /> l:?JD ' Zl_•D . 2..2 <br /> ?-',da 11), (. 2,0 . 217 <br /> 2:30 21 •N 2� - __ <br /> 3'•OD 2 . S7 . 1 - — <br /> PERCOLATION RATE: ! min/in PERCOLATION RATE: (4 minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Kr15 pa.t Phone: '30(-360-3 SS$ Date 6 /23 / 1.? <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS)' Phone `16$- 3 4 5 Date l0 23 1 <br /> EHD 42-03 REV 11/2/09 PER TEST RATE FORM <br />