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Op0.�!N c SAN JOAQUIN COUNTY <br /> 2 i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> i Telephone:(209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: '100 0 %-'�A5r 51-A-rf� 2QU`7-; :a2 D CITY: I PoN G5-2 v <br /> OWNER NAME: wl w� L9R.Dt,Ip DATE: <br /> APN: �� �'�i +7'30 APPLICATION#: DEPTH TO FIRST WATER: �'Q 7 Ft <br /> SOIL TYPE: SEi g,YL-" <br /> REMARKS: /v O S-r4A,1 r2/A,I�, N,47t/e S.4 �4 iZ <br /> I e,,5`f r�1ZC0 0A'r/On! T�r 5 <br /> LOCATION OF TEST HOLES (SHOOW�-WE-LLS AND STRUCTURES) <br /> i f .. <br /> l_ <br /> AA <br /> ...........__...........—_..........._ .__.... ... ......_ _... --- -- - - — -- -- { - - -- - I-- -- <br /> ........... .... <br /> _ _!--_s_-- <br /> {{{ - <br /> i <br /> i <br /> I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type <br /> 3 ' <br /> `4,V:4 51- <br /> L S _ <br /> g�r Test Hole# 1 1/t Test Hole #2 <br /> Parcel: 30 Diameter: S in Depth: in Parcel: �d Diameter: in Depth: 3� in <br /> TIME I READING WATER DROP REFILLED TIME -- READING WATER DROP REFILLED <br /> 98 3 , z " d ,3 3 SS 2� 3.00 <br /> J -_..... <br /> 73 I <br /> u. ' - i i <br /> d- <br /> -�/ 0-- .----- <br /> PERCOLATION RATE: min/in PERCOLATION RATE: 14 7 minlin <br /> RECOMMENDED SEPTICEA: RECOMMENDED SEPTIC AREA: SEE RE m <br /> TEST PERFORMED BY: Phone: — OL- Date aZ <br /> TEST CERTIFIED BY: Phone. Date <br /> OBSERVED BY (REHS): Phone 2-c'5' 3011:( Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />