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o�` c SAN JOAQUIN COUNTY <br /> � X. <br /> �t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> L9 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 /> ADDRESS OR LOCATION: 95 StUrltr�c� �ri�� CITY: Tv <br /> OWNER NAME: Mr `��^� k h�`'�f ( `� DATE: <br /> APN: 3�' 50— I APPLICATION#: J I �09'�c SSU DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: �[)ND <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> F. ..01 <br /> _— ... <br /> F !—; -j i 1 1 1 f 'T-.'-] FT I i <br /> : <br /> s i <br /> -- LAl I <br /> M - 1 <br /> SOIL PROFILE IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> _ Test Hole # 1 Test Hole # 2 <br /> Parcel: Diameter: in T De the _4�C in Parcel: 1 Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> (0'uJ i7r 1q.3 <br /> 10.30 .45 4.5 <br /> ►1'oJ .�� .3� A.S <br /> is:3 q1 .air y.l°5 <br /> 1:,k) y<53. 1-7 w a <br /> q-16 .36 as <br /> 4.65 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): '/ Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />