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U"l,� SAN JOAQUIN COUNTY <br /> y. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1p; 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: 0 9-0 E Q rte. 1 1,k CITY: ES e-4 <br /> 1014 <br /> OWNER NAME. 0 DATE: �fI JZ7-2J <br /> APN: —1 — Z Eta — 05- APPLICATIONS: S?'0 o f DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: [ V B!+ .0L S AA, S <br /> REMARKS. <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> l � 1..._.... ..._....'... <br /> PE NDCLATUAI TEST$100 Pf31Cau71uN T�f�e1GN <br /> r Vim"PVC PqN � r0' I PVC Pkv <br /> ...._... <br /> + . fes <br /> 3.2.3' <br /> ,� �0.1T yrAwl ]0.7T f11N111 <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Sail Type Depth Sail Type Depth Soil Type <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: Diameter: in Depth: 3Parcel: Diameter: _in De the <br /> I <br /> TIME READING WATER DROP I REFILLED TIME READING WATER DROP REFILLED <br /> t 0: SDL4 I <br /> 1130 - 35 LN <br /> 11:'2.v <br /> . 31 3 <br /> a [:3 -1.-4-C -33 L4 .fq I <br /> . 3 LI-3-+ <br /> . GS . 31 1 - <br /> PERCOLATION RATE: _ z .4;q minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC A RECOMMENDED SEPTI AREA: <br /> TEST PERFORMED BY: Phone: 3Cr?- D 3 Date <br /> TEST CERTIFIED BY: Phone: Za 5 31`L033 -1 -�ye <br /> OBSERVED BY (RENS): Phone v lr_kj['T�. ?_ �ate <br /> 4 ly? <br /> EHID 42-03 REV 11/2103 �� PERC TEST RATE FORM <br />