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z10:4 IlY <br />• <br />sc.` - <br />. A - .407 .. <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />TIMF READING WATER DROP REFILLED <br />ta• 3c ,24 f4' — <br />/z • o - _025, 3ia ' 4 1/ ,2.5--/o/ <br />> /.2 :3$"" <br />2 5-9 <br />402/5.4E 34 4-'/ <br />__I '.• 0 c ,25-4o r 3,o 0 '" .2 5-• /.2- / <br />. / : 3S- ac.,211 /,ey'l 25.0_7' <br />a • 5--. 0,15: a3 f /6,61 .25-,01' <br />2 ‘„;,3 f /..01( <br />Test Hole # 2 <br />Parcel: Diameter: in Depth: in <br />TIME . R'EADING. WATER DROP REFILLED <br />Test Hole # <br />Parcel / Diameter. +5— in , Depth: )43,29..in <br />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: / IcZ 3 t-A5 4,7)z0 CITY: 4-') 0 <br />OWNER NAME: A,7,shit,iy 242.1;--(:4 DATE:I) <br />APN: APPLICATION #: DEPTH TO FIRST WATER: 7-L•79 Ft <br />SOIL TYPE <br />REMARKS: <br />SOIL PROFILE (IF REQUIRED <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth I Soil Type <br />ii'l yrAS / )z-- 1 ( _ t rvIL_ - eeilil. 5 1 i...--r- i--/AgT)PAik.: <br />//'-fe' ((i_h_ <br />PERCOLATION RATE: / min/in PERCOLATION RATE: min/in <br />T <br />RECOMMENDED SEPTIC <br />EST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHD 42-03 REV 11/2/09 <br />RECOMMENDED SEPTIC AREA: <br /> <br />Phone ..r.2.c) 9 az -/6 5---a Date 41// 77/2/ <br /> <br />Phone: Date <br /> <br />Phone Date 1 7/) <br /> <br />PERC TEST RATE FORM