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SAN JOAQUIN COUNTY <br /> 2 ` 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 /> F°R PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1 W . 1� u^opl e r CIT . CITY: LCIS I <br /> OWNER NAME: Le S I I Pi {CJI nc oF-f- DATE: 1 <br /> APN: 02A- D ZD' D-2- APPLICATION#: SR co 00(O 11 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: --apt- �j- y <br /> REMARKS: CIUVG�� JJ 1- AIY� °��^ �y h � T icy <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I--� T <br /> FP, <br /> Ai <br /> I- F7- -j-] 1 r in n m 77 n_ <br /> � _ F-T-TAT �(-l T I- <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 1P3Test Hole#2 <br /> Parcel: Diameter: in I Depth: Z in �P—arcel.---� Diameter: in ' De the in <br /> TIME READING WATER DROP REFILLED TIME _ READING WATER DROP REFILLED <br /> q +.' <br /> 7 <br /> 102'5 O• -3,102- <br /> 4. 32- <br /> .102, • 2 0,Sv <br /> 1l2s o• • I� <br /> 155 D ,1 <br /> O,2Z 4,2-7- <br /> A(3 <br /> - <br /> 0. 21 4, k4- <br /> 0 2-ci 0 ,2ci <br /> -L <br /> PERCOLATION RATE: ,�n :Z, min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: TC�'V1 t" tA) cfs er�Q Phonl)aCr - �i'S �c Date S /- / <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): &ALt� _ Phone Date -_ <br /> EHD 42-03 REV 11/2/09 PER TEST RATE FORM <br /> -* y-eAAIng A � �S <br />