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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. i'• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RAT�E� <br /> ADDRESS OR LOCATION: -Ii-� 7i 3 !",�`i2 t, Rte, 29 f r_M'1,LirI (l-l_CITY- � � ` <br /> OWNER NAME: rr?�I X' za met 5 DATE: , 21'7 21) <br /> APN: `e>-3C)" LIQ APPLICATION#: DEPTH TO FIRST WATER: `L-) Ft <br /> SOIL TYPE: 2 <br /> 1o � <br /> ' <br /> REMARKS; - � aPa J ��' <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> -LJ 1-� _!___!-!L-L L_I-I-L-i-i-i.-i i 1___I i l-l-i-f-�i 1.--_1-L-l-L!!�-1--•i <br /> -� I I CCCC�r-�j_��I_ C�!_�C�CC€-E , �--- ► �C�-�CC�� <br /> — L I I_lCl i�1 1I l �]I_C� C I I_I I i ► I_ <br /> 1_I _ I CCI C CI <br /> ;-1-I I I I I I I I I ! I I I ! ! ! ( III I I <br /> II ! { I ! Ilf ! ( ! ! ! IIII ! flifIllill ! ! ! illN~ <br /> '• I I I I/ -{- , ! i �f ! I ! I ! I ! ' ! I ! ! ! I ! I I ( ! I i <br /> ! I 1 i ! ! i '• � I I ! � ! ! i ;M:.! ! ( 1__!_�_C 4 ! _I_ .CC'I_ ! I ! I I i I <br /> i I I L 11 1 1 1 ' <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Lir <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in De the in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> C >) 1 o (o <br /> 2; <br /> ate 0' <br /> o z1 qo <br /> 121S�l1 <br /> O - <br /> 3 2; e 3 <br /> PERCOLATION RATE: 3' min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: „� q 4h7 jow.0 Date 7 <br /> TEST CERTIFIED BY: V Phone: Date <br /> OBSERVED BY(RENS): _ Phone Date <br />