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ca!'!^!. 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.sigov.org/ehd <br /> 9��FOR� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I n�0��0 l�C�� �Yt t CITY: <br /> OWNER NAME: �An {y' DATE: <br /> APN: /,)O!�1- 1-4-0 APPLICATION M ?A-7-60011S DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> FF <br /> LLL <br /> ___i--' i ' • 4 z i - 1 i i 4 I i i ' = i - - 4 i i ' I �i <br /> -_�^Fj-�-yr--z--1---�-"s-�:-�-.{mss--_�:.-- •--e-�- -i- _ i-I-1-i_ __ �-.�i-s-i._�_ 1 <br /> _ • U� <br /> -t -�I i .:+f mow_ a+i••• <br /> j-7 <br /> 1 i <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: in I Depth: ? in Parcel: 2T Diameter: in I Depth: t in <br /> TIME READING WATER DROP REFILLED 1 imE READING WATER DROP REFILLED <br /> S.. 3- 3 12-7 a•L z... - - k 3 <br /> U0 3 ,y6 o/ 3 • 1. <br /> 7: 30 ..Sa G.1c % 3/ G 0 '15 Z. .7c <br /> C,:oa 3.S$ C5 6� /G : o i Z •rY o <br /> 0 Lo <br /> 30 3•loS 0 •a1 2'9 Y U: 3 3. o`er 0 . 15 <br /> :uo 10 0 . 1!� U c(r <br /> :x 3 .2-0 0 , 10 i(-_3 3 . 19 U•O ' <br /> 12 -� 3. 7-9 0•09 tz L� .orr <br /> PERCOLATION RATE: 2�S• min/in PERCOLATION RATE: q/. 1 min/in <br /> RECOMMENDED SEPTIC AREA: ,.210 S�- RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 11FIXTRrJ f 4AFTUOIXI Phone: Date _/ 7— / _ <br /> - Z. <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): ', ;�, . - 4 :�, Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />