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.Pqu!k- 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 /> �4C�FORa`p <br /> PERCOLATION TEST RATE AA <br /> ADDRESS OR LOCATION: I 51�4 I PP k%,e i CITY: A Ccl.O+ e(j <br /> OWNER NAME: C31v,► "JA) DATE: iy ZL 706 <br /> APN: (" APPLICATION#: <;9LOL^)f6( )Lj DEPTH TO FIRST WATER: _Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I <br /> C1 � I <br /> - - - <br /> €TH <br /> -€ <br /> : III I <br /> ! l ! ! € !- <br /> ! <br /> I <br /> I Sko I i s i r <br /> 1 i 1 I <br /> �1 I -T ! I -[ '• I € _ -I i i� I 1-77, I , 1--_ <br /> I � f= til--11 ( 1 IFI i- fI- � .1 � � l-- ; ' � ( t <br /> i- t-' SII - <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth 1 Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> �--- --- <br /> 2- Test Hole # 1 IS 3 Test Hole # 2 <br /> Parcel: Diameter: -i in I De th:1.Ir f—4m Parcel: Diameter: in I De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ice' 30 os' — <br /> 1 3 2f Q•3ti 7V <br /> 5.1v- 6.;t <br /> it 3J 3.15' O •kJ <br /> 1 :c ;.vLt <br /> PERCOLATION RATE: (. Z min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: AW" Phone: Date 5 <br /> TEST CERTIFIED BY: _ Phone: _ Date <br /> OBSERVED BY (RENS): Phone Date 1 tl <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />