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'QU I <br />SAN JOAQUIN COUNTY <br />Ei\j\/IRONMENTAL 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 />- -6 <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: I I ZSU MkCC-j Va y f �'CITY: <br />OWNER NAME;_'�fP�I't'k CvL4,1-k U(-,. clo Jack k�47 PATE: <br />APN: APPLICATION DEPTH TO FIRST WATER: _Ft <br />SOIL TYPE: <br />REMARKS: <br />I 1%J14 WF I CO I nULIM-0 (bHUVV WELLS AND STRLICTURES'... <br />PIl *Fit 1* 1 1 <br />I J 1 1 1 1 Lj <br />bUIL FRUFILE (IFFREQU ED <br />Depth Soil Type _ Depth -Soil Type Depth Soil Type Depth Soil Type� Depth Soi <br />Test Hole # I <br />kar_ <br />CeI:/_ Diameter: 4j- in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />00 <br />2-17 <br />/0: 31d <br />(0 <br />EIRCOLATION RATE: <br />WATER DROP, REFILLED <br />O,ol <br />(J. tri <br />0 -Wo <br />C) - Q0 <br />64 <br />A0 <br />MrZk,UIVIIVIL7-NUtU Z:itF I IU AREA: J_01-ftfte -*A,- <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):.7�, <br />EHD 42-03 REV 11/2/09 <br />min/in <br />Test Hole # 2 <br />Parcel: 2I Diameter. in <br />Ujt Wi; in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />2-17 <br />_lo:3S 3s- <br />3, Z� <br />Re) <br />rtKk;ULA I IUN RATE: _.. �. ql, to —in i n1i n <br />RECOMMENDED SEPTIC AREA: �t- <br />Phone: Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />