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�,guly SAN .JOAQUIN COUNTY <br /> =� s ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazeltan Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)4E8-3420 Fax:(209)464-0138 Web:Www.sjgov.Orglehd <br /> rJ u (!� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: `l ` rlerokez CITY: S� C1470r �S S <br /> OWNER NAME: C,10 QG V;0 MeJ4101DATE: L � <br /> APN: O%q -0g o -0 APPLICATION M �� 2 2 D�� DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES] <br /> F _ <br /> I <br /> I i <br /> PEWKA W rests+sUW PENMIATI N TIM SKEMLI <br /> r n� PVC Pipe I 2'Dgmerr PVC PO <br /> ti <br /> .......... ......... --. ....... <br /> 16 � --- - <br /> f ]wr ] r°o.1 gravel <br /> _qHenn Larel _ <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Sail Type Depth Soil Type Depth 1 Soil Type Depth Soil Type <br /> Test Hale # 1 Test Hole#2 <br /> Parcel: Diameter: in Depth- Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> IQ �f.33 <br /> In,.3 440 37- 5" <br /> t I : 0 �{. S .3 0 'f 3 <br /> t :30 .3 5'7 <br /> Iz' �o 4bo Z �b <br /> V.00 .4 z <br /> . 23 <br /> PERCOLATION RATE: . L{ min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:((99) 3 6`1 —03?� Date ?-$ Zto <br /> TEST CERTIFIED BY: Phone: e 1i 3to I Date '--f--i i -Z <br /> OBSERVED BY(REHS): Phone W Date 41'al 2ma <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />