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Pa""". <br />SAN JOAQUIN COUNTY <br />EivVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: I 1z 5-0 K% - Mi <br />OWNER NAME: cy—,.t(� UC i <br />APN:...... APPLICATION #: <br />SOIL TYPE: <br />REMARKS: <br />LUUA I ION OF TEST HOLES (SHOV <br />QP 1. <br />CITY: Loj i <br />DATE: % -I -7-47-I <br />— DEPTH TO FIRST WATER: Ft <br />WELLS AND S <br />OUILrmurlLt: (IF REQUIRED) <br />De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T <br />Test Hole # 1 <br />Parcel: / Diameter F---fn--]-665the y in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />ag <br />Cyl <br />05- <br />/0 !60 <br />3. -74 <br />I -.3S- <br />60 <br />:34 - <br />Is, -O& — <br />- <br />WATER DROP I _REFILLED <br />PERCOLATION RATE: 50 min/in <br />RECOMMENDED SEPTIC AREA: ---i <br />TEST PERFORMED BY: fVL, <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />F --cel: Z Diameter: SO in I —b e —pt the s <br />12 in <br />TiM-E, <br />READING <br />WATER DROP <br />REFILLED <br />ag <br />05- <br />_6 ------ <br />0 08 <br />I -.3S- <br />0 <br />.0-7 <br />JS- <br />3, 2ci <br />- <br />----- <br />------ <br />35 <br />--mob <br />rt:KUULA I ION RATE: b minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date &-_;j <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />bktl, flvne) J fill � S,? . <br />IPA- <br />