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�Q�IN SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />< <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�/FOtRa`P <br />PERCOLATION TEST <br />TEST RATE <br />ADDRESS OR LOCATION: 3-I Z� A/O2Tf-1 4 N498gJ�1VT� A� VE CITY: 6_EoD lL� d <br />7 <br />OWNER NAME: <br />APPLICATION #: <br />• C <br />i A.s _ l <br />LOCATION OF TEST HOLES (SHOW WELLS AND <br />TE: /'1 O o2�o2oL <br />DEPTH 4 FIRST WATER: Ft <br />_ Test Holip # 1 _ <br />Parcel: Diameter: . 5- in I Depth. G in <br />TIME <br />READING <br />WATER DROP I REFILLED <br />7:40 <br />z1?' <br />-- <br />7: aa <br />3/0' <br />©o,� <br />o--- <br />=30 <br />3. <br />O• o" <br />Aa, <br />"7— <br />--- <br />p 3 <br />49, <br />PERCOLATION RATE: Z-5-0.0 min/in <br />RECOMMENDED SEPTIC A A: 569 ACAP)o- <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />E H D 42-03 REV 11/2/09 <br />[_ <br />Test Hol # 2 <br />Parce_l: Diameter: , $ in 1 Depth: / in <br />/&FT <br />TIME <br />READING <br />WATER DROP REFILLED <br />7: aa <br />W. <br />Aa, <br />56 <br />49, <br />�o,� — <br />PERCOLATION RATE: &7,/9 min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: O Z - / _ Date �t <br />Phone: <br />Phone ( <br />Date <br />Date t <br />PERC TEST RATE FORM <br />