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RQ�IN 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 /> Cq�%At <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: '�; `t�3 - �-A-r -�-t>r 1.'l P CITY: t"tea/ <br /> OWNER NAME: _ � iyfi jDDDAI—T'"' DATE: �v "/G - zo <br /> APN: bb5 L/z!- OZ APPLICATION#: DEPTH TO FIRST WATER: �� <br /> - Ft <br /> SOIL TYPE: <br /> REMARKS: �)a L�- ze i 2-K7'15 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> a <br /> , <br /> I <br /> I <br /> a <br /> a <br /> • I i__ <br /> 11 7 I I ! F , <br /> _._.. i _ 1 <br /> F . <br /> T-�.._-1-I-(_.�.._l�i..._-.+T�......, �-�----f 19_����-�-C�-.�91l�l._�l� 1 ��._1�!I <br /> 1 I-� F[ 7I--] I-I-1 �-� 1 1 Imo- _ <br /> - ; <br /> I r I � I I � <br /> i� <br /> 11 � 7ai- <br /> SOIL PROFILE(IF REQUIRED) <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: ( Diameter: /b in I De the Y z-in I I Parcel: Diameter: in I Depth in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0O 2.7, <br /> :3o 2— f3 ,0� , <br /> �05 , <br /> //jo — <br /> i0K-i— <br /> PERCOLATION RATE: f min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: 1q N-V 9' RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: rC- 71r ' Phone: Date <br /> TEST CERTIFIED BY: '1 Phone: Date <br /> OBSERVED BY REHS <br /> t <br /> � <br /> ( �/ k�.� 1,__ Phone Date <br /> EHD 42-03 REV 11/2/09 �— PERC TEST RATE FORM <br />