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SAN JOAQUIN COUNTY <br /> i� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _: •_err. '� <br /> Q: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:mvw.sjgov.org/ehd <br /> 4c�FORa PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: <br /> 0 06 5— 4/ /f7�' l• CITY: <br /> OWNER NAME: L i l, CZU / Lp7 ' i55� r /yJ2y ' /l c -- _—DATE: <br /> APN: C'�'3- C'4-Q `-0� 3 APPLICATION#: ,Sk-'?Qi.��/---O, DEPTH TO FIRST WATER:_,?� _Ft <br /> SOIL TYPE: 0- t _ <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 7X <br /> 1 l l�4 <br /> HIM- _. <br /> B x f _ <br /> - — — '—T- r-1— 1-1 1 <br /> i I I I I I <br /> SOIL PROFILE (IF REouIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # 1 - Test Hole # 2 <br /> Parcel: I Diameter: in De the J& Parcel: Diameter: in I De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> J <br /> V, 03 <br /> C> cv- <br /> 111-7 <br /> (11 02 <br /> U 1 O. OZ <br /> yI cTJ <br /> 12.4 0,c) _ <br /> PERCOLATION RATE: C' min/in PERCOLATION RATE: _min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone000 6-b'S�S y Date <br /> TEST CERTIFIED BY Phone: Date <br /> OBSERVED BY (REHS): ,y✓I�` _- Phone _ Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />