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�ct4!11y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I X1868 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: 10'b'0 LI gt Z/mover^ CITY: '174,4-- <br /> OWNER NAME: j&&f t4Se, 0. the t I P//U DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: A <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> '-._.. .<°%(e-cam-r- :r� •--- ,__._ .__..- _ �__ . _. .-- - _.- ,--- ._ <br /> FP <br /> ro <br /> ED' <br /> FT' <br /> I , <br /> QO- <br /> f - I A ou's -6 <br /> I —11 <br /> _ W, <br /> 11� <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: I in Depth: �-/o in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> eeap Q z o 0 <br /> 3c, 17 z o <br /> 100e) .Z t 27 R t D <br /> 1.0 30 2 5 d <br /> Rt &0 02-49 cqa <br /> r o Zr '4d <br /> f/0 L v <br /> ! 3 <br /> PERCOLATION RATE: .27r 78 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTICm <br /> ` RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ► )/ Phone �1��/(v7• !Q�{�� Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date <br /> EHD 42-03 REV 11/2109 fl PERC TEST RATE FORM <br />