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Aq�ly SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />2: -cry . •G <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�,FORa PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: CPf559.U1_ A.N 0 AVS CITY: SlO�I��Od <br />OWNER NAME: �i� G�I� .� n� n d DATE: MAV r2Od-oa-0- <br />APN: APPLICATION #: DEPTH TO FIRST WATER: ^ Y Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND 5TRu <br />_ Test Hole # 1 <br />Parcel: , Diameter: in I Depth: 74o in <br />2 3 7 - <br />TIME <br />READING WATER DROP <br />REFILLED <br />e7 asL <br />3, 0 <br />13. 0 3' <br />:oS <br />23.•�S a •� .� <br />a � <br />PERCOLATION RATE: /.2,5 min/in <br />RECOMMENDED SEPjAA:VR6FP/zr <br />TEST PERFORMED BTEST CERTIFIED BY: <br />OBSERVED BY (RENS <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: in De the in <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: <br />mmnn <br />RECOMM DED SEPTIC AREA: _-�}-- <br />Phone: Z- G S __ Date/oZd <br />Phone:_ Date <br />Phone �� `— Date �Z <br />PERC TEST RATE FORM <br />