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4u'N 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.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2- �AS'refA/zP��['T' CITY: ATO G!e'i Old` <br /> OWNERNAME: IAIAT DATE: /. 'ARCI-;aa �7_Dl9 <br /> APN: _ '79 40- 'rb APPLICATION#: DEPTH TO FIRST WATER: ^ r/o 7 Ft <br /> SOIL TYPE: G F �QddO <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 1 f <br /> .......................... ... ...... <br /> i i { I <br /> ................. <br /> ......... <br /> .......... <br /> ..............._....- _ <br /> ..................... ..... <br /> ................... .......... <br /> ........... .... -T <br /> ..... <br /> ............... <br /> . _ <br /> .......... <br /> _.. .._ _ ._�.___._L-4-4- <br /> + <br /> _ , , <br /> I �__ _-. _.. i_.._ <br /> _ I <br /> • <br /> �._ <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil T pe De thSoil Type Depth Soil Type Depth Soil Type De th Soil Type <br /> - r -A <br /> A4 PTest Hole # 1 4, r Test Hole#2 /.2 <br /> Parcel: p Diameter: 4­5 in , Depth: in Parcel: I Diameter: 2. 5r in Depth: in <br /> READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> /,4d '' <br /> ,TIME <br /> OG 05� ©. 48' 3. O:/D 1, 3' d O " <br /> e2 <br /> zz <br /> PERCOLATION RATE: min/in PERCOLATION RATE: /9• min/in <br /> RECOMMENDED SEPTIC REA: SE R— RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Jog-401 Date3 a��9 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): ' ' Date ��2 <br /> !� <br /> "- ,S _ l/ <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FORM <br /> Phone �' � L��� <br />