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pq�fN 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 /> ��FORa PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z��'' $4• 'MVP-"'( (to CITY: IP1 NO'S <br /> OWNER NAME: M G 0AE, ,tnac -,.moo DATE: 1- 1 ') <br /> APN: t'-)$"' {- f ' i APPLICATION#: �ic I°9 c7voo9 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> L-t--moi—i 1— <br /> TT <br /> �Yi <br /> i <br /> LF <br /> �) <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 Test Hole#2 <br /> Parcel: / Diameter: 8 in Depth: 7'2- in I Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> $:00 '7,7 <br /> 6:;0 2.8f ,0$ <br /> j:00 2- <br /> 30 <br /> 30 2. . ,Of <br /> p;JJ � <br /> fl-00 0!r Z,?� <br /> 00 Z g f 0r <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: LZ1-OLV 5f RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: M Phone: -""lain S�'f-L61 i Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS . Phone Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />