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utiy SAN JOAQUIN COUNTY <br />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 />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 3�-7-49 MR -774 1x11" <br />A//? A YE-�- CITY: <br />OWNER NAME: � <br />n ��� A 0- i7Lr% DATE: M A <br />, <br />APN: D97— Of 62 l 4- APPLICATION #: DEPTH TO FIRST WATER: 8� Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STIR <br />BUIL I-KUrILt pr KLQUirctul <br />Depth Soil Tye Depth Soil Type Depth Soil Type Depth ' Soil Type Depth Soil Type <br />_..— <br />Test Hol # 1 "1' -- <br />Test Hole # 2 <br />_ _ <br />.............._......._....._..---.__. _._._...._.....__..... - ...------...._.._........._.._.-_...._..._.._........ <br />Parcel: 3 Diameter: 5 in Depth: 02 in Parcel: 3 Diameter: Sin De the / In <br />TI E <br />READING_ <br />WATER DROP REFILLED <br />�_../ 3 <br />.1 .....off.. <br />._.._._ <br />Z3 <br />p D 7, <br />Ap -- <br />_ <br />"13 <br />PERCOLATION RATE: 1/, l min/in <br />RECOMMENDED SEPTIC ggeogr <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />TIME <br />READING <br />WATER DROP REFILLED <br />�_../ 3 <br />.1 .....off.. <br />._.._._ <br />Z3 <br />p D 7, <br />"13 <br />PERCOLATION RATE: min/in <br />RECOMMENDED/SEPTIC AREA: <br />Phone: a q-fta i-lGsa Date <br />11 <br />Phone: <br />Phone )- ' 64, �w4 L <br />Date <br />Date 5 17 .! -yo <br />PERC TEST RATE FORM <br />