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oPQ�ly 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 /> 4l,F nR� <br /> 7 -7 PERCOLATION TEST RATE ' <br /> ADDRESS OR LOCATION:` ' I (z- Z I I c,, O CITY: �r Y <br /> OWNER NAME: _ VyGLV�✓�� �� DATE: <br /> APN: L� _ I APPLICATION#: ULA ' I CE DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE -- <br /> REMARKS: - <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> F! .s ur 1 ; -A- �i-A <br /> F1 -1 H- fl-- I -1--- 1 -1- 11-1 11 " 1 <br /> . . . . . . . . . . . . . <br /> — ---- ---- - — - r- - - - - ' <br /> I i i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Ty e Depth Soil Type Depth Soil Type Dept Soil Type <br /> Test Hole# 1 ! Test Hole # 2 <br /> [Parcel. 1 Diameter: L in I De the n Parcel: Diameter: in De the in <br /> 7 '.1E READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> I-4"'0 3 <br /> IU ', 3U U , 2-1 c) 12 -il qu - <br /> G U L4 2S o t C C <br /> U LA ,oq <br /> L-1 , tz <br /> 1 uv 0 <br /> 30 1 �. <br /> PERCOLATION RATE: 77-77 min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 1 V i 1 t lwj Phone: r+d' Date <br /> TEST CERTIFIED BY. Phone: Date <br /> OBSERVED BY (REHS): Phone �- �`� 7�;I Date (r <br /> EHD 42-03 REV 11 2 09 PERC TEST RATE FORM <br />