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in I Depth: in Parcel: / I Diameter: <br />TIME READING WATER DROP REFILLED <br />7: <br />5-. 7& " <br />Ø:3() , 297', 3, -7.2—" .9 • 6, 7 ' <br />3.Z-' 07óó" <br />9." 3 0 <br />/0:DO .L g3 / 3 ,6•# .2 .(o7 / <br />/Dr. 30 cr2, 1,-.7 / _ 3.0D c.?, -7/ / <br />//;,2/, ,2 . ''''..2 ' .2, 76 ' — <br />Test Hole # 2 <br />Parcel: Diameter: in Depth: in <br />READING WATER DROP REFILLED TIME <br />Test Hole # 1 <br />PERCOLATION RATE: <br /> /0 9 min/in <br />RECOMMENDED SEPTIC A <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: 141Nre <br />OBSERVED BY (REHS): UIC I\ 71Ak <br />EHD 42-03 REV 11/2/09 <br />?• • • • • -Pt, <br />../.\ <br />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.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 470,0 /.6'W'...:L../ g.C. ciTY: ---/<? A c 153V4 <br />OWNER NAME: *2'..- WA 1— gt., vacAaq...E 7ki,4-,7 DATE: `,/------P1-2-7M8..5.'e ; ' 0, iee I 1 <br />APN: „2_ 6-g- /PO - / APPLICATION #: 5F-1 1 D 3 +4 Z..- DEPTH TO FIRST WATER: il--* 35- Ft <br />SOIL TYPE: Sgr: 0 F= 1.4)14/ <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />i <br />1 C <br />%.••%4 4.. ...1 ..loo. .... "... <br />, r <br />i---- <br />, i <br />--11-1- <br />k.i <br />I <br />SOIL PROFILE IF REQUIRED <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />C - /2 1/ <br />/ ' — 3,e,# _2 a/t- <br />el.-7.i" 5, <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: ap9..-42..-5,2 Date V.3 <br />Phone: Date <br />Phone Date gigq <br />PERC TEST RATE FORM <br />min/in