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0?4V 11Y c <br />tti4 C' k g/ <br />ADDRESS OR LQCA7 <br />OWNER NAME:) <br />APN: 326, 3 <br />SOIL TYPE: <br />REMARKS: iµ <br />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 />CITY:_ <br />0�tL . t 1 DATE: .,7 <br />APPLICATION #: DEPTH TO FIRST WATER: ft <br />�= <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br />: <br />�_- <br />d <br />_._ _.. �--�-- },._. 1...... ;_�___}... �--_Y'—j f �-.._.' _yrs—i.�...— �----,11--�---}• -{— i+ --}'--I.... ,.__t i _ <br />r <br />/1-1....--4-111. J <br />1 - <br />4;. <br />s <br />f s <br />I 1 1 <br />: <br />I I i ! { <br />10, <br />Tt <br />IL rfCVrILC tll- KtWUIKGU) <br />�-• • •- • • •a a-•=MENM. • • •- �-• • • <br />Test Hole # 1 _ Test Hole # 2 <br />Parcel: Diameter_ _ ` <br />in De the lin Parcel: Diameter: in De th_ <br />in <br />TIME READING WATER DROP REFILLED <br />r <br />G1 r1 <br />-6'. 3 " r <br />{.✓ , v i <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br />RECOMMENDED SEPTI REA: RECOMMErED SEPTIC AREA: <br />TEST PERFORMED BY: �Phone: i%j WL Date -4 <br />TEST CERTIFIED BY: Phone: Date <br />OBSERVED BY (REHS): Phone �`\q) 3dSg2 Date Z Pct, "tom 2.�. <br />EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />