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....:.... SAN JOAQUIN COUNTY <br /> ENVIR NMENTAL HEALTH DEPARTMENT <br /> 600 Ea it Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209).468-3420 Fax:(209)464-0138 Web:vdww.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I7d S/ N s(ND ft 0 CITY: '74G� aAd ..S 217 <br /> OWNER NAME: LO E5 PAN B U - IV DATE:_ M f L+JD <br /> APN: APPLE CATION#: At I DEPTH TO FIRST WATER: ^` Ft <br /> SOIL TYPE: <br /> REMARKS: T <br /> I <br /> I <br /> LOCATION'OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> s i t i <br /> , <br /> 3... i-. y... .... -�i- 1 -.1 <br /> 1 <br /> . F <br /> -Tr Ti <br /> I <br /> ! An <br /> ' - — — — — <br /> 1 <br /> • E ! <br /> 1 <br /> r_ I __ F i _ <br /> _..I T lIf- <br /> i <br /> 1 i I j <br /> t SOIL PROFILE IF REQUIRED <br /> Depth Soil T e Depth Soil Type Depth Sail Type Depth Soil Type Depth Soil Type <br /> rF <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: Z4 in Parcel: Diameter: in De the _Ain <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> — <br /> oZ <br /> Z <br /> 2.-54' <br /> Z. s-&' 12, 24 �-� <br /> 2.' 2 2. . 34" <br /> 2- 2- 2.W' D• " - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: i RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: ,/ _ Date <br /> TEST CERTIFIED BY: z Phone: Date <br /> OBSERVED BY(RENS Phone Date _.j- <br /> EHD 42.03" PERC TEST RATE FORM <br /> 3 7/3/04 <br /> i <br />