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4op.4ul!v„ SAN .JOAQUIN COUNTY <br /> b' _ ` ''% 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 /> ��!!�� 'PLEIRvCOLATION TEST RATE <br /> ' ADDRESS OR LOCATION: '4V <br /> �o7AV �+ �,Cl�"" ! CITU: <br /> OWNER NAME: (2,/ G/A1J06cC r'6^' DATE: <br /> ' APN: T Cy'Or APPLICATION#: Pa AU/ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: c•�ryr��� ,"` <br /> REMARKS: /IID IA�L4S 6a ��/T.v(i G'.7 (,0 /tdo 'del4lwd <br /> LOCATION OF TEST HOLESsHowwELLS AND STRUCTURES <br /> I I i i l l i l i i l i I i i t I I I <br /> J i—I �' .AL1. ..I 1 1_.J L-i_ Li.__ <br /> 4i I I{- <br /> -I- <br /> till 1T-_� <br /> i <br /> I 3 f - <br /> ....' 1!-T T?— i _I _ <br /> ter- r 5-1 , <br /> i� �t T1 --I�1• <br /> �• -..Tr� .t I I I I 11 I„ 11 • <br /> - _Tr r rm n _ m n r� TT r n <br /> 1 - <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth 1 Soil Type Depth Sail T e <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel: Diameter: 12, in I De the 2 in Parcel: / Diameter: /Z in De the n <br /> ' TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> qp <br /> Q <br /> /0114. 3. L' <br /> o;Y6 3.22 <br /> 0 <br /> .10 Y 2,of ,/f <br /> ' /2=ye o ./s /2- vr 2AA l3 <br /> r/a 3. �$ /o /-/r 3.OA �o <br /> ' PERCOLATION RATE: 25 min/in PERCOLATION RATE: 25 min/in <br /> RECOMMENDED SEPTIC AREA: (2-,001D S RECOMMENDED SEPTIC AREA: 1 Z.Loo 5'�- <br /> TEST PERFORMED BY: INTI 1 -rV' Phone: 33¢-66,/ 3 Date I Z - /p " 1 <br /> ' TEST CERTIFIED BY: �� Phone: Date <br /> OBSERVED BY (RENS): Phone 20!x 93?'76,8 Date z <br /> EHD 42-03 REV 11/2/09 PEI'C TEST RATE FORM <br />