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Pay'" SAN JOAQUIN COUNTY <br /> 77!— <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ••. Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FORC� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I( A(L Q �ol-L �1�ryE - C� CITY: -r L. <br /> OWNER NAME: 177JLLV GD!'►iM != 1: .�' DATE: '4 1z. <br /> APIV �G�-' /za0 APPLICATION#: DEPTH TO FIRST WATER: •g Ft <br /> SOIL TYPE: / F FLr ioW <br /> REMARKS: 'E;LZZ-!Z:) 5 zg F1 g AIZ712 L,I <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> . ...... 14 <br /> IL-44-1 <br /> , <br /> �.....t <br /> , <br /> _ <br /> �? ( 1 -TF <br /> ...... I - - <br /> fi <br /> _ _ <br /> ............ <br /> ..... ......... <br /> _ <br /> ........ ...... <br /> ..._.. ""T----- _ _ _ _.. <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 11 1.51 IeX IC-1- <br /> Test <br /> .1Test Hole # 1 _ _ Test Hole #2 <br /> Parcel: ,- Diameter: in Depth: in Parcel:_- Diameter: �. 5' in De the - in <br /> 57 c fT. E G - -7, /5 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ' ,l 02• 37 .s 2, � / a8 ' �D8• <br /> 0. 962 ' <br /> q 9 2• " OP' <br /> 0 . 57' D, " d3 542 // r <br /> d ' 2 4 -------— 04 5' <br /> PERCOLATION RATE: <br /> ,357. 7 min/in PERCOLATION RATE: <br /> S 7 min/in <br /> RECOMMENDED SEPTIC A: 51�iE RE a Z RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: a Phone: Date 4-/- t l <br /> TEST CERTIFIED BY: N Phone: Date <br /> OBSERVED BY (REHS): ��l/��Gw Phone Z0?4ff-7G7" Date �'- f-/�Z _ <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />