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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.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: _12�0)-o.-W667r VO4i CITY: <br />- r- ---------- 7- <br />OWNER NAME: DATE: 1VOVEM-51A <br />APN: APPLICATION #: DEPTH TO FIRST WATER. _Ft <br />SOIL TYPE: !'_0yV <br />REMARKS: N/0 Ki %AJ A <br />,TION OF TEST HOLES (SHOW WELLS AND <br />501L PKIIJI-ILh (IF REQUI F.U) <br />Depth Soil Type Depth Soil TypeDe �th_IRil T e Depth I <br />S'0'ilType_ <br />Depth . Soil Type <br />_ <br />- --- - <br />30 <br />-- ------ <br />. ..... <br />Test Hole # 1 <br />. ... .• ..... j'�� Diameter: . ... . in h in <br />Parcel: Dep <br />-3 t? <br />TIME <br />READING 1 <br />WATER DROP- <br />REFILLED_- <br />- --- - <br />30 <br />-- ------ <br />. ..... <br />........... . <br />12 <br />.. . .... --.............gip...........__ .. <br />....... <br />PERCOLATION RATE: 0, 3 —minlin <br />RECOMMENDED SEPTIC 5:15F AIRPORT <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />. .......... <br />Parcel: Diameter, in i De the in <br />TIME READING WATER DRO REFILLED ... . . ....... <br />. . .. . ..... . . . . ....... . .. ... ... . . ...... .. . . . ...... <br />... ... . ..... <br />. . ......... . . <br />PERCOLATION RATE: <br />minnn <br />RECOMMENDED SEPTIC AREA: <br />Phone: 4p2, /G Date <br />Phone: <br />Phone Z01 -41/0-36/V — <br />Date <br />Date 6--;!q2 <br />V <br />PERC TEST RATE FORM <br />