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tCL SAN JOAQUIN COUNTY <br />z 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 />Q�r•F <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 140'52- <br />Y. JT. _` 9 G <br />. r4r%f SAB <br />RA CITY: s C kC <br />OWNER NAME: G groX. 4f&ey- <br />TRT. <br />f'e- L% C. <br />DATE: /2Z <br />APN: I I q - � � Z ` Sloo <br />APPLICATION #: S <br />,,d <br />R 0 0 a (I 43 a <br />DEPTH TO FIRST WATER: Ft <br />SOIL TYPE <br />REMARKS: <br />LU(;A I IUN UI- I t, I MULtb (SHOW WELLS AND STRUCTURES) <br />.9011 PROFILE nF RFn[IIRFnl <br />Test Hole # 1 Test Hole # 2 <br />Parcel: ( Diameter: in I De the ,t{ ' I Parcel: Diameter: in I Depth: <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />10:00 <br />ry <br />4.06 <br />lc;lp <br />q.t4f3S <br />4 -IS <br />11;00 <br />L{.41. <br />.24 <br />4.11 <br />Ir -30 <br />Lf. 34 <br />.22 <br />q.0'+ <br />12:00 <br />'-(.Z6 <br />• Iq <br />4.10 <br />t 2'. 0 <br />u. 24 <br />.11 <br />4. l <br />I.00 <br />q. 2 <br />'1-4 <br />K.13 <br />1:30 <br />4.2 <br />�f.IZ <br />---- <br />COLATION RATE: min/in <br />K--OMMENDED SEPTIC AWA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY(REHS): <br />EHD 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />I <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone:?.O�q 3 6q —07*6 Date 112- //Z 2 <br />Phone: 2cq 3C¢9-03-) Date l- LI -22 <br />Phone ?A -bk6 �,-bM Date t 2 11 Z <br />PERC TEST RATE FORM <br />