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oPa�!►r. SAN JOAQUIN COUNTY <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q• <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> I Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> /� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: <br /> 92-692FATF �J T F- 12— CITY: - L-ODI <br /> OWNER NAME: 15 1 j)IAa4 N E "o L-- DATE: 7" 1-7 -2+ _ <br /> APN: (�S "'S� APPLICATION M ?A 2300 Ito DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> Ll LLt <br /> -LA Ll— N <br /> 1 f <br /> i—T <br /> f� TSI_ 1 ��T -- - FF <br /> 1 -7SOIL PROFILE (IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: 2 Diameter: S in I Depth: 31 in Parcel: Diameter: 2in Dethe in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> g:by /.30 — :03 /.vo _... <br /> 8 30 /40 D•30' /. SV O./o, <br /> 00 /,8'S D.1�' / •�0 ' <br /> E7 : 00 .? D./S' to , v /.72 40.08 ' <br /> l-o .' o /. 92 D.is' o ' 3 /.-77 0.05. <br /> o SS' :3� sem' v. /o <br /> a, coo Jeo 5 ' 2:0 <br /> PERCOLATION RATE: _�_�_ min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: I Zt&W 5 7 RECOMMENDEDE_Pr�T,i,�AREA: <br /> TEST PERFORMED BY: Phone: '!O� Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): <br /> Phone ��'�O�Z-- Date <br /> EHD 42-03 REV 11009 PERC TEST RATE FORM <br />