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Pq!'I•N SAN JOAQUIN COUNTY <br /> �0.c <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 /> oq�iFoaN�P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 70 CITY: 015337 <br /> OWNER NAME: DATE: <br /> APN: _ oZ�p -/�D'/ APPLICATION#: DEPTH TO FIRST WATER: Z'f Ft <br /> SOILTYPE: 5/G7_'/ <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> t <br /> _ .r.. �. � ....-: <br /> �_... i ......... ..... I _._ _.._�_ <br /> t <br /> No 7.S 79 <br /> _.. ..._.i � J.......�.. ..._.......... <br /> i _. i <br /> ._ <br /> .... ......... .......... �....... .XT ........ <br /> 1 O C ` <br /> .... ................ .. .............._ <br /> .._...' _ _.., ....,_. ... ..........� .... '..... _ <br /> I <br /> ' t I <br /> I . <br /> i I <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> I <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: I I Diameter: 4.67 in 1, Depth: 3 in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3 D <br /> Ofd ' . <br /> 2C2 1521. 70 ' <br /> 3,44 .G5' <br /> ov • fll 3.7 a-- <br /> 3 v �, 9 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone. �ozDate ��,.2 C? <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone of�i6"'3`f4-Z- Date S % Lw <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />