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Aq��N SAN JOAQUIN COUNTY <br /> D.... --.... C <br /> =f- s ENVIRONMENTAL HEALTH DEPARTMENT <br /> I 1868 East Hazelton Avenue, Stockton, CA 95205-5232 <br /> "" Telephone:{209}468-3420 Fax: (209)464-0138 Web.www.sjgov.org/ehd <br /> 7 , <br /> gCeFpRt� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I G-6t<bE f-J Iv r°� AVE' CITY: 5-FZ��01j <br /> DINNER NAME: T`�Gt`l Pt eta gv2_Et(2-A DATE. 3/1-3 <br /> APN: 1'� -1 - 1 3 U - 3 L{ APPLICATION#: SQW46 C q 3 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: G�ctT - u 1�3nJ I-►4 ru tw�vmtL E}C <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES] <br /> PSIDUAi101lTMAETCH I A PEncWiillMTEST5!C_N <br /> 2'Rater PUC Pipe 2'DMOMW PVC PLpe . <br /> r <br /> Pam <br /> umk 34 — q. 2 1 '1 .3 <br /> SOIL PROFILE(IF REQUIRED) Piz LI 9pF7LLD� Ti_LZ_0� <br /> Depth !Soill <br /> Type Depth Soil Type Depth Sail Type Depth Soil Type Depth Soil Type <br /> Test Bole # 1 C044. 0* bGc Test Hole # 2 <br /> Parcel: Diameter: in Depth: I Parcel: Qiameter: in De the <br /> TIME JREADING WATER DROP (R�EFIL-LLED TjME READING WATER DROP REF4LLED <br /> oo <br /> :3 r ? . � —� x-30 l • 1 .� 1 <br /> fo. �.? n� cl, Ig <br /> !2w L4. ;1- 10C '{-2-5 C7 <br /> 12: 10 prV ! 11, 00 16 . OG- 4.07 <br /> 2'21011: 30 <br /> 17-10 I :oo <br /> [ 2.:35 o 14.aq <br /> 12 : o ss'do �-- <br /> 12 7:� . 114. <br /> PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:67,oc7)3 6 cf-Q 3�, Qate l 312-3 <br /> TEST CERTIFIED BY: Phone: 2.63(al -03-1 S_ Date '7 - <br /> OBSERVED BY (RENS): t Phone 2 c_')Q-j0lV'-;d1 Date T — —Z <br /> EH 42-03 REV 1112109 FERC TEST RATE FORM <br />