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p <br /> "- SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd D ELT3 P <br /> o� PERCOLATION TEST RATE <br /> ADDRESS OR LOC�ApTI�ON:.Gb J .�l�J � 91L CITY: /TW <br /> OWNER NAME:��/'P?rjZV— I. Bwb6�f (,dye,__ DATE: <br /> APN: . gEz- -/ p./ /y APPLICATION#: IAo &2 DEPTH TO FIRST WATER: ZAQ Ft <br /> SOIL TYPE: <br /> REMARKS: C+r�^�JD.. +7-s.•L. (J4S cw.E.4ya•ci+.-1 G( .Zz_�I - n, Cv^ 4• <br /> E— LOCATION OF TEST HOLES Isrtow WELLS AND STRUCTUREsj Y�7�owJ <br /> i <br /> 7- <br /> L <br /> ._ <br /> 3_ <br /> - FFI -_�..i I_I r__1 I_-- i- 1. it 1,= 1 1 rl - I - <br /> SOIL PROFILE IIF REQUIRED) <br /> De th IS IT T e Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hale#1 - Test Hole#2 _ <br /> Parcel: Diameter: 6•o in De the z- in Parcel: Diameter: in De the - - in <br /> TIME O7NGWATER DROP REFILLED TIME REAPING WATER DROP REFILLED <br /> —i� <br /> 'S d•o� <br /> PERCOLATION RATE: minlin PERCOLATION RATE: min/In <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: T j3 h!L 17Aus Phoneft6J-• 7J_- &_030 Date .2�/Z,/Iy <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS):, / ..• �,�/ Vii/ Phon '�)yl 55j -74,9g Dale IL f <br /> EHD•2-03REV11W09 PWC TESTRATE FORM <br />