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U9.I SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />C -1 <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�•f�l.-.. Ra�P <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: _ _I Ic. 133 I�✓)oort CITY: Lod, <br />OWNER NAME: 1�✓Iw15r.h i��.tt <' �-"< lrft, DATE: 12 • at - 1% <br />APN: Oo i U?O — 4 APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES /SHOW WFLLS ANn STRucTURFSI <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />06-6 • s -'al S-,,,- <br />18-3 Test Hole # 1 10.1Z:in] <br />Test Hole_# 2 <br />Parcel: Diameter: in Depth: PDiameter: in Depth: in <br />1 <br />0�_ <br />-jf <br />WATER DROP <br />REFILLED <br />-A <br />�-i_i <br />IYII <br />g•ok �.� <br />�t.�• <br />o -r <br />q•aa <br />II <br />0.75��- <br />io:o� p _� <br />&. <br />1 <br />i� <br />1 <br />� <br />N . 06 �,•• <br />! , <br /># • S' <br />11 <br />-C - <br />1:34 •,13 <br />Tr <br />% <br />�•.o�e <br />•3 <br />/ •'Cb <br />9.3u <br />1 <br />� 1 <br />T <br />0.1t) <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />06-6 • s -'al S-,,,- <br />18-3 Test Hole # 1 10.1Z:in] <br />Test Hole_# 2 <br />Parcel: Diameter: in Depth: PDiameter: in Depth: in <br />PERCOLATION RATE: G . SfY min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: Vl 1'Vl <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHD 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date ,> > 1 • a <br />Phone: Date <br />Phone Date (L /y, 1 z <br />PERC TEST RATE FORM <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />S': 3 a . <br />'! 16 <br />g•ok �.� <br />�t.�• <br />o -r <br />q•aa <br />II <br />0.75��- <br />io:o� p _� <br />&. <br />1 <br />o <br />N . 06 �,•• <br />of • s t7 <br /># • S' <br />1:34 •,13 <br />Tr <br />% <br />�•.o�e <br />•3 <br />/ •'Cb <br />9.3u <br />t Ix. <br />0.1t) <br />PERCOLATION RATE: G . SfY min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: Vl 1'Vl <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHD 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date ,> > 1 • a <br />Phone: Date <br />Phone Date (L /y, 1 z <br />PERC TEST RATE FORM <br />