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y, r SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95255-6232 <br /> Telephone: (209)488-3429 Fax:(209)484-9138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 35� �. `'+G C:44 Ve. CITY: r'GlC' <br /> OWNER NAME. G 0 h 5nn,f 1, DATE: ?- 6 <br /> APN: 2_y_I - 11 O- ' d _ _____ APPLICATION#: Sr27�G D_C_` S �[ DEPTH TO FIRST WATER: I .Z{7 Ft <br /> SOIL TYPE: G <br /> 1 f <br /> REMARKS: <br /> LOCATION OF TEST HOLES {SHOW WELLS AND STRUCTURES <br /> PERDOLAT NTESTSWCH PERDunoNTEStSIMM <br /> 2"OwneW PVC Pipe 2"DiawW PVC PIR <br /> l <br /> I <br /> — I <br /> � .Z0 _ <br /> ]CAr Wam ]air or" <br /> # I larel. [ L- Ig1N Lawk _ <br /> ....... - <br /> —. ....... <br /> .. <br /> i <br /> SOIL. PROFILE(IF REQUIRED) T D <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hale# 1 Test Hole#2 <br /> Parcel: Diameter: in De the 2. Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFSLLED Tlty[E READING WATER DROP REFILLED <br /> r0:30 4f. 63 _.. <br /> I oo22 <br /> :3 q`b" . ! $ <br /> 00 5- <br /> 1:00 <br /> I 70 Lt. o <br /> 1 ,3or Li.6 <br /> 2.: tt7q <br /> PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA, RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: z ocI -36q-0-3 Date 6 � <br /> TEST CERTIFIED BY: Phone: z -- 031)Date <br /> OBSERVED BY(RENS): Phone `~ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />