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P.... : 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 O W-rS P <br /> 5(z 68456 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:., Z SSa Lr <br /> �r w�' CITU: <br /> OWNER NAME: /4L_rv�. Q+aLI�arT (r� <br /> APN: ,ZSZ ^/moo /L_ APPLICATION#: �P- - 130 $ DEPTH TO FIRST WATER: Y'Zo Ft <br /> SOILTYPE' »� � TSI/i-TL7L r.0 )C� <br /> REMARKS: -JDA^TvL_ lJ iY$ cµ'4:vci+.-L Gf ?.3- n• �JCe�a�y,.,��c�r.�(/;r,. <br /> r. _ <br /> /r2�'iYg9r 414'--' Ned <br /> L <br /> LOCATION OF TESTHOLES SHOW WELLS AND STRUCTURES) <br /> 1. <br /> :- 4wP 3 <br /> SOIL PROFILE(IF REQUIRED) <br /> De th I Soil Type I Depth Soil T e I Depth Soil Type Depth Soil Type Depth Soil T e <br /> 'ZI <br /> a. <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: 6.4t, in IDepth: VA- in I Parcel: Diameter: in I De the in <br /> TIME READING WATER DROPREFILLED TIME READING WATER DROP REFILLED <br /> ��55, -.. - - <br /> 55 Y• � 5' U.oG - — <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY:T AIc.J fl9rss?. Phoned9/6)?3J - &'oao Date 9,6/Z.� <br /> TEST CERTIFIED BY: _—� Phone: Date <br /> OBSERVED BY(RENS):, G.�,/,p—c•r.,�.���� Phon(Qoi s) 55j -7G•5t' Date �1 �-//y _ <br /> EHD4-03 REV IQIDD / P' ERC TEST RATE FORM <br />