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AgU1kSAN JOAQUIN COUNTY <br /> �o. �.co 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: D CITY: weA ('Aryl P 9sa 31 <br /> OWNER NAME:( d^'a'i C0N4-r(ZU(--f1 n R -A1?)� M)X DATE: 1!0(/c148,2 'Ll-- 2-011 <br /> APN: I — 1 7— l�I APPLICATION S: FA— i 9,90p 2­5' DEPTH TO FIRST WATER: r 30 Ft <br /> SOIL TYPE: — <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> f <br /> I tteT-1 i <br /> 4p <br /> r 1 1 I ! I I _I Imo. 4 <br /> I <br /> I. �.. I.... i .. <br /> ti <br /> t <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type_ _Depth Soil Ty Depth Soil Type <br /> _g 217az <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: in I Dept in Parcel: 1 Diameter: in I Depth: in <br /> TIME READING I WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> di7, --- <br /> Q ' 2 -7 l <br /> .53 2 o <br /> 20' 7, '17-o '5?:19 '7,;d� 3, 3, o ' /o: . (P <br /> PERCOLATION RATE: min/in PERCOLATION RATE: (e,�?, min/in <br /> RECOMMENDED SEPTIC A: Re4--y zr RECOMMENDED SEPTIC AREA: <br /> E l <br /> TEST PERFORMED BY: Phone:o2Of 49 2. GSA. Date P. <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): N Phone Date //-.?/-l j <br /> E H 0 42-03 REV 11/2/09 PERC TEST RATE FORM <br />