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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(las)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> "F PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I LSU 1 W , 1 L€( 1 12-'0 CITY: <br /> OWNER NAME: VA l C O A L.L S I L V A_ DATE: gll4l zt1 w _ <br /> APN: '1-1 Z - I;o 0 -L)4 APPLICATION#. :5 P'0 65 7- 5 13 _ DEPTH To FIRST WATER: Ft <br /> SOILTYPE: 0AC1'1-V- l TT L ir)r•-r <br /> REMARKS- <br /> LOCATION OF TEST HOLES sHow WELLS AND STRUCTURES) <br /> PERMUTIDM TEST SKETCH PER DLATICM TEST SKETCM <br /> 2'DWROW PVC POD 2.01mmier PUC Plea . <br /> L 3.0% '4. <br /> HE UE <br /> - ]air ]0.1r prowl <br /> ROIL": •+o - �[. 7-4 Nor <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soi€Type Depth Soil Type Depth Soil T e Depth 6oil Type <br /> Z.5 1 ss i' G <br /> Z.'5�3. 5' aF.Ie <br /> Test Hole#1 Test Hole # 2 <br /> Parcel: Diameter: C4 in I Depth: I Parcel: j Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> UU Pr -- 4.)o <br /> () q.q ,3t7 4.10 <br /> 10;00 4 .42- .3210:3C ly, ?1R 4 .!I <br /> 11 :60 4,q L .3 1 Lf.o <br /> 11.30 4 .34 4.09 <br /> 12;00 14,g5 . 3 4.1 <br /> 3U .3 .11 <br /> PERCOLATION RATE: 5.62 minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:(`? Date iG _ <br /> TEST CERTIFIED BY: Phone: Date -i 2-,P <br /> OBSERVED BY(REHS): Phone Date 20zJ <br /> EHD 42-03 REV 1112)09 PERC TEST RATE FORM <br />