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SAN JOAQUIN COUNTY <br /> — ENVIRONMENTAL HEALTH DEPARTMENT <br /> ar• < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone.(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1 I Q�r I V F fJ��►'� ✓� CITY L/ac/ `I O <br /> OWNER NAME: 9-o L� G `" �? t DATE: �f 3/2-1 <br /> APN: t7Ui 3� 1 APPLICATION#, 5� i��(� DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. A t(A V-A00 G ✓lit) CA t we o' <br /> REMARKS: <br /> LOCATION OF TEST HOLES JSTH2WWELLS AND STRUCTURES <br /> _. rucauTmM Tyr SKEM Pff=LAn0N TW SKEreH ........ <br /> 2•owneher PYc P4m 2"OWFWW WC PW j <br /> ....., <br /> •Lt7 <br /> ti <br /> i ....... .......... <br /> E <br /> ........... <br /> ]air garel ]a.Ir prml <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> U- Z.nl' SrC�v SI T <br /> 1 <br /> Test Hole#1 Test Hole#2 <br /> Parcel: f Diameter: i4 in I ❑e the Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> L l�ry q q! <br /> 10, 30 ? Lt . <br /> 0 0 <br /> 1 •30 ISCI Ll <br /> 0 <br /> �f 1 5 <br /> �L) . Cl .Z ! 14. 0 <br /> PERCOLATION RATE: minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:�k )_A 9-Q j�'-Date ? z <br /> TEST CERTIFIED BY: Phon Date -I z-Z(Q <br /> OBSERVED BY(REHS): Phon ^L Date 3T TEI-c <br /> EHp 42-03 REV 1 U2109 PEEK TEST RATE FORM <br />