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�A SAN JOAQUIN COUNTY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> `0= { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: W . 1•--¢ I A�-°- � CITY: G r 9 2 4 <br /> OWNER NAME: D/1 L G a e, /y M-endo DATE: 3I3 F7 <br /> APN: _ 1L D'e - Q 6D -- 7- APPLICATION#: SP U 0 1 -Vi g DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: +D VVI I^ ckav f va--vt <br /> REMARKS: x <br /> LOCATION OF TEST HOLES SHOW WELLS AND SIRUCTUREs <br /> 3 E <br /> _ ...................... <br /> i <br /> PEkC0IA7=7EST SKE= PEKO ATIOM TW SIX101 <br /> r Mmuft rx pkw r Oladr PW P40 <br /> 2.26 SP31 <br /> 2 .�[31 <br /> �J ]n.�r grareE - — ]o.lr graral <br /> LL� 1leSM <br /> � I <br /> #F <br /> SOIL PROFILE(IF REQUIRED) TO() <br /> Depth Soil Type Dept Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in Depthe L{ Parcel: Diameter: in Depth: <br /> i <br /> TIME READime WATER DROP I REFILLED TIME: READING WATER DROP REFILLED <br /> hh <br /> .0V r 'r 5 _.... <br /> -)o Er >. 61 --- <br /> t Z:10 (.0 -. <br /> ............ <br /> 3 .4a ! <br /> 12 5o t{._'_1 L{ G"Z - <br /> I oo D -- <br /> PERCOLATION RATE: �4.63 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC A E RECOM ENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: O) 3 69-d 3 75 Date 3 3 ZO Za <br /> TEST CERTIFIED BY: Phone: 2' 31:A- � Date 3- `f- a•�e <br /> OBSERVED BY(REHS): Phone � a3 Date <br /> EHD 42-03 REV 11009 RC TEST RATE FORM <br />