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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> /PORN <br /> PERCOLATION TEST RATE / <br /> ' ADDRESS OR LOCATION: Z(cSrbl [iW CITY: <br /> / ✓/N <br /> OWNER NAME: �JvJ DATE: /Z 'ts "Ir <br /> ' APN: 0(g,-1 "ZSy fOr APPLICATION#: P'4DEPTH TO FIRST WATER: ') Ft <br /> SOIL TYPE: �+� r.� <br /> REMARKS: NJ YJA-C-,S OZ SM.) 7ULdf J.-)j f O Q/ECj <br /> LOCATION OF TEST HOLESSHOW WELLS AND STRUCTURES <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 i i . . `I 1 . 1 1 1 <br /> i _1 i LJ i—I I �� I I 1 I i ~e <br /> I I I <br /> —� <br /> _79 <br /> I ( I l <br /> ' i i I ' l l l l l l l l l I l i 1 1 1 <br /> j � n..--rr-r T <br /> 1 TTfiT i 1 I I1 I-( 1-T-I T7 77 T-TT FT__T_ Tf n-f�1Tf <br /> T m-n 1 n m.-ri -r-r_-_I n T n I T-r.I _1 1 n.__ <br /> ��T--r-- - - <br /> -I--- r-- _ tr_._. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Tvoe De th Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: p Diameter: L in I Depth: I Parcel: Diameter: in I De the in <br /> ' TIMEREAD G WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> Zo 2:3 _ <br /> 2.2° iv <br /> 10.,P Z .qj. , it <br /> ' g of , to <br /> 3 . ft . /!� 2,�0� <br /> 2. 2° ,/o <br /> ' 2 •SV 3. os ,lu <br /> to 3.1.r . 13 <br /> ' PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: (Zr(.>L>O Sk RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: &A I 6r, TV1 Phone: ')31' (oW) Date 2 I f 15 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): < Phone Z 6 8 Date z IT <br /> EHD 42-03 REV 11/2/09 PER TEST RATE FORM <br />