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Qu1N. 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 /> �d�ii=o'lif'�y <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1w 1 (r Fl EK a EG,. I CITY: <br /> OWNER NAME: Su c,IL �l av�.vr. _ DATE: -z3 <br /> APN: U SS- (1,y- Z APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> ! t € € # ! sT T- <br /> i-J-1 <br /> i- ---i i_-i-._t i <br /> ±----i ~!----} - <br /> i _- <br /> . <br /> -�_....1 .-1---i.-.._-i .L--i.._� ___ i _ __• E F - I �._ € _ i I �._? -_._ _. i__-�_: - _ <br /> r i 1 } Y•� { 3 <br /> t € <br /> t <br /> x <br /> € • - - - - - <br /> - I <br /> • ' � 8 € € i ' 1 € i [ i <br /> LL <br /> 1 <br /> 5 t <br /> t ; <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: 3 in Parcel: Diameter: in Dept 7�7in — <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> I a} cw 4• u•IS <br /> q .o-1-cw. 4.0r -n oq �•oS <br /> 9-3� LI. I 1 -o •0 0 - <br /> 6'•0-- 1q'IS —0.C'.( `I Out <br /> I%-S* -^ (11.10 —0 -06 �i •qit°� <br /> I I.07 a A ?.qs - 0 .0-+ <br /> PERCOLATION RATE: 3 S7•-•I_ min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: (2aj) 5wi -3'A-0 1 Date It ZF zI <br /> TEST CERTIFIED BY: _ Phone: Date <br /> OBSERVED BY(REHS): ` ar . �_ Phone ?. (-(o((,-36 Date �Z <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />