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0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTti DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)466-3420 Fax:(209)464-0138 Web:WWW Sjg0v,org/eMd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: _ '9� 2,5_ Arm.'5'+r0yAIz P\ CITY: <br /> OWNER NAME; DATE: 67/2 V2. <br /> Z <br /> APW __ 2 10 - APPLICATION 91. 66167301 DEPTH TO FIRST WATER; <br /> SC4L TYPE i_mkav <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRLIcTURES), <br /> PSMATION TFM SWON <br /> Pi" <br /> 2*thwoew pvt P" <br /> 51 <br /> 4� <br /> ... . ......................... <br /> L±J <br /> L4.3() PAN L". (q. 61 - 14 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth --Soil Type Depth Soil Twe Depth Soil Type <br /> ............... <br /> j'PVT-V+ -rts.T Test Hole # 1 Test Hole # 2 <br /> ,P cje� Diarneter 4 �r Deptr,, 2., Parcel I Diameter, <br /> Pa. 3q <br /> TIME READING WATER DROP REFiLLED TIME READING WATER DROP REriu_Eo <br /> tea. V to:0 9' <br /> ------_-------------__--__ <br /> 4. _5t_........___ <br /> -.10;_............. <br /> L4. kA T(v <br /> (A <br /> C Dr <br /> L4 <br /> .40 <br /> �j 2 <br /> 3q i q. <br /> L 0-02 <br /> Lj.qq Li .(01 <br /> 12-: 4 <br /> ............. ------ .............. <br /> .32: <br /> PERCOLATION RATE: minlin PERCOLATION RATE: 2_ rwi minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY Phone (249) 3(A- 0 3 7 5-Date � Z3 Z 2 <br /> TEST CERTIFIED BY: Phone: 7-v� 3(-9 - pl-I Date !r,Z3-1-L <br /> OBSERVED BY(REHS): -_ <' <br /> Phone Date <br /> EHD 42-03 REV 1112109 FERC TEST RATE FORM <br />