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Ng I SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />i 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: i E 4toy ✓G CITY: wf'-/ <br />OWNER NAME: DATE`.— <br />APN: %D"� APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: G (-," Y y <br />REMARKS: <br />LUliMI I%JIV Vf ICJI nULCJ(JNUVV VVLLLb AIVU S I KU <br />SOIL PROFILE (IF REQUIRED) <br />Test Hole # 1 <br />Parcel: Diameter: I L in I Depth: I Z O in <br />TIME <br />READING <br />WATER DROP REFILLED <br />' <br />1v: v <br />10, Y-' <br />� S <br />1t•G2S <br />•Dn <br />i <br />11 '3v <br />8..�;l <br />1, oil -- <br />}COQ <br />(9C�u <br />DJC. <br />i <br />I O U <br />v <br />C? D <br />t • 3v <br />8"0 " <br />o•o'' <br />Z oS, <br />J, <br />0 0, <br />z <br />'ERCOLATION RATE: 19.0-s- minlin <br />tECOMMENDED SEPTIC AREA: <br />'EST PERFORMED BY: U pr M ice. t CO UA) <br />-EST CERTIFIED BY: 1 <br />)BSERVED BY (RENS): Itky- rux 1 twy <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: in <br />TIME <br />READING <br />WATER DROP REFILLED <br />' <br />I D , . — <br />10•. <br />� S <br />1t•G2S <br />•Dn <br />i <br />3S <br />B v <br />1, oil -- <br />12:c5 <br />7 S %� <br />D•S" <br />i <br />7. <br />7.0 <br />� 0" <br />Z oS, <br />J, <br />0 0, <br />z <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: <br />Phone <br />Date <br />Date <br />HD 42-03 PERC TEST RATE FORM <br />`9104 <br />