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0 '0 p cn <br /> 0 D <br /> m D <br /> CL <br /> O Xt N <br /> = N Ntit N <br /> '9 O Y: <br /> m N N <br /> m O Lri <br /> m C UST <br /> UG sFavin._r 00 SAN JOAQUIN COUNTY <br /> 5'6 SAN ENVIRONMENTAL HEALTH DEPARTMENT p rD <br /> O rD <br /> 1868 East Hazelton Avenue,Stockton.CA 95205.6232 -i <br /> 3 \�;. -� Telephone:(209)466.3420 Fax:(209)464.0738 Web:wwwSjgov org/ehd r— <br /> tLj �V m 7 <br /> PERCOLATION TEST RATE <br /> N <br /> 'i ADDRESS OR LOCATION'_ 'ter .r ,t - =r <br /> (p <br /> T1 <br /> OWNER NAME' ,7 CIN: :5 0, O <br /> 0 <br /> _ - - DATE: <br /> (p APN:i/. APPLICATION 0: r-F <br /> ry <br /> SOIL TYPE' _ DEPTH TO FIRST WATER' FI 0 0 <br /> REMARKS:_ _ <br /> N (� <br /> (D _ LOCATION OF TEST HOLES(sMowweus AND sTRucivaesl <br /> t7 <br /> LA <br /> T <br /> Tf- T-T i <br /> [J 77- <br /> 117 LTJ J l FT1 LF <br /> T' i 1-1 — i I _ — —� _�_ - � -- <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soll T e Depth Soil Type De th Soil Type Depth Soil T <br /> 2- e Oe th Soil 7 e <br /> mac-n' <br /> Test Hole#1 26FT Test Hole#2 <br /> (Parcel.09 Diameter. ,g in DeDlh 90n in Parcel Diameter. in De the - In <br /> T..E READING WATER DROP REFILLED TI!_ READING I WATER DROP REFILLED <br /> R o' <br /> J'� •• 124. <br /> - I <br /> PERCOLATION RATE: /• 7 min/in PERCOLATION RATE: minlin 6 <br /> RECOMMENDED SEPTIC A A: RECOMMENDE SEPTIC AREA: I <br /> TEST PERFORMED BY: Phone, Z Date <br /> TEST CERTIFIED BY: Phone Date <br /> OBSERVED BY(RENS) f Phone Date <br /> EHD 4247 REV I VZ09 <br /> PERC TEST PATE FORM <br /> Z7 <br /> (D <br /> l7 <br /> O <br /> CL <br /> 0 <br /> ,C7 <br /> O <br /> O <br /> O <br /> D <br /> I-� <br /> (0 <br /> 01 <br /> d <br /> W <br /> (D <br /> N <br /> O <br /> N <br />