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u� SAN .JOAQUIN COUNTY <br />0 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: �d Naar 2VLA rin A ✓E CITY: 5T9a4n2 J <br />OWNER NAME: Ct d e,. 6 A r>4 A,& D1�,2 DATE: ,� 3 0�0 <br />APN: OA - D9rn —64' APPLICATION #: DEPTH TO FIRST WATER: ti 8� Ft <br />SOIL TYPE: <br />REMARKS: <br />SOIL PROFILE (IF <br />Death I Soil <br />ill <br />LOCATION OF TEST HOLES (SHOW WELLS ANDSTT <br />Soil <br />Test Hole # 1 <br />Parcel: Diameter: 5 in I Depth: In <br />2 G <br />TIME <br />READING <br />WATER DROP REFILLED <br />--7-3 0 <br />;Obr <br />33, <br />3, <br />401) <br />�� ..._ <br />3T-- <br />��— <br />' <br />- <br />. <br />.. -_... <br />3 ' Z % — <br />�� <br />- ' —__... ......._...... <br />-�_.-.— <br />PERCOLATION RATE: _ <br />RECOMMENDED SEPTIC <br />TEST PERFORMED BY. 10 <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): - <br />EHD 42-03 REV 11/2/09 <br />mmnn <br />Soil <br />Soil <br />Soil T <br />_ Test Hole # 2 _ <br />Parcel: Diameter.. S in -( Depth: in <br />TIME <br />READING <br />WATER DROP _ REFILLED <br />7.0_x_ <br />-_✓� <br />/� moi <br />�,D� — <br />p• 3 �.. <br />X02_,. � <br />t% ,�2 ii <br />PERCOLATION RATE: ! ocy minnn <br />RECOMMENDEDff SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Date 571- z A 2 <br />PERC TEST RATE FORM <br />Phone PSG 6 �_ 3A2 <br />