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TIME READING WATER DROP REFILLED <br />L 0...)-0 V4•4S- - 0 ...LC P• i 't. <br />- <br />it'.?••D Pir,qc - 0 • tic 2 •4 <br />)9.1c - 0 1 5 <br />Clik) 7 4 3c _S - <br />1)'...c0 .3f' - 0 • 7'4. 1 <br />.'12.1. <br />PERCOLATION RATE: 1- 19, min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): ni-StA5 <br />----u--1--- SAN JOAQUIN COUNTY <br />... .).-....K.,...0\ <br />--,— *.c-.., ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />, <br /> <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />o . <br />4-/ :ig, .. <br />ADDRESS OR LOCATION: 3 i..c CITY: <br />OWNER NAME: DATE: <br />APN: APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br />" i <br />....._ <br />f I <br />1 <br />- <br />9 <br />I <br />• 4-1 + <br />' •! <br />i. <br />I <br /> i <br />' ,! -.-4 <br />i 1 <br />. <br />. <br /> <br />1 <br />I i <br />I ___i I I !--- i - , <br />..1.........4.__F_I__.}_. 4 <br />r I <br />9 <br /> <br />---9- . i i 9 -----I <br />! <br />t <br />. <br />_ <br />_ <br />r- <br />1 <br />i <br />1 <br />, <br />, <br />, <br />_ _ <br />_ <br />---, <br />La <br />____ s <br />.. <br />--4---4 i <br />. <br />_ <br />... <br />I <br />I I ; 1 <br />_ i i I , , 1 <br />--r I <br />, <br />I-I <br />ii i I II I <br />il I <br />. - <br />.4 <br />7 I i <br />' i" t .., <br />' . <br />I <br />' 7 i <br />t 7 <br />i <br />f. <br />—1--- <br />f _Id_ _1E1_11 ri. +II i th . , I k ..1 _..i_ <br />1 T i 4 <br />! . • i I <br />t <br />T-7 <br />: <br />J <br />1 <br />i I 1 -1 4---7 <br />! i I • I I , <br />SOIL PROFILE IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />p, a 5 k... <br />PERCOLATION TEST RATE <br />Test Hole # 1 <br />Parcel: Diameter: (.6 in 1 Depth: 70,D in <br /> <br />Test Hole #2 <br />Diameter: in Depth: <br /> <br />Parcel: -7 In <br />TIME READING <br />q . s-r <br />WATER DROP REFILLED <br />1 r A Li. 5 - D 5 74 <br />— 0 C <br />‘t • ts5— —o . «5- 73 • <br />23. 8 <br />;H.S — . GA— 3 , 6'•-• <br />e 0 ^I c ” • el <br />' 'AT 6. 4 . )5- 0 - r ,'-4c <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: <br />Phone: <br />Phone <br /> <br />Date <br />Date <br />Date <br />EHD 42-03 REV 11/2/09 PERC TEST RATE FORM