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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> " K 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> i /� �. r Fn^ cl �• <br /> FDDRESS OR LOCATION: 1_I G /Y,M1I�"-rta�b/� l.�T CITY: n &'np <br /> OWNER NAME: 1[VVI/'- O•t ha+1 1 L'1 ; C;n DATE: q- /Z -i t <br /> PN: !`i ,) L�-l)1 APPLICATION#: DEPTH TO FIRST WATER: , Ft <br /> OIL TYPE: - -- <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> F-r , <br /> SOIL PROFILE (IF REQUIRED) <br /> ' Depth Soil T e De th Soil T e De th Soil Type Depth Soil pe Depth Soil Type <br /> ' Test Hole# k 2- Test Hole#S 1 <br /> ' Parcel: Diameter; ' 6 in Depth: rJ in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 10 15 1 1 , L�i 7 to0, 19 LjO, <br /> ' 13 S -� q "a r ,7 7- <br /> 11 ' k5 <br /> 11 , t . a 7 4 0 1 S 7 t LI <br /> 11 . U � 1--j Z 9 <br /> IZ I '-1 . n <br /> 1 :1S . 0 .9 Lin 1,9 2.1?S <br /> �2 c <br /> L .1 LA . Z-g 1.4 <br /> NPERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC ARS: RECOMMENDED SEPTIC AREA: <br /> ESTPERFORMEDBY: ��\ Phone: X09 9 {�i 1� ��Date lZ�i 6 — <br /> EST CERTIFIED BY: Phone: Date <br /> OBSERVEDBY(REHS)' (�j ,xrn -e4/ar Phone �%�f� 55i �" Date <br /> �HD 42-03 REV 11/2/09 P C TEST RATE FORM <br /> f=ineern Q <br />