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SAN JOAQUIN COUNTY <br /> - o 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 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2-o5Pi A4 tL11.)4 CITY: DEnj <br /> OWNER NAME: K► O pao V I ; DATE: ? � '{ <br /> APN: b5' w 03 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: '40 S bei.- 404 ` IZAO.,V <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I <br /> L—g + <br /> ! j <br /> f <br /> . E <br /> i <br /> .. <br /> _. - <br /> . I ! I 'Ir-- <br /> i <br /> i i e <br /> 1-FTT-11.T�..._.l T. T _.._1...-FTI T-T- <br /> € <br /> II <br /> • <br /> T , <br /> SOIL <br /> I <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # .3 Test Hole#2 <br /> Parcel: Diameter: in a the in Parcel. Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 2- q1 107 <br /> Z q ®� <br /> R <br /> e .0!5- <br /> 3, <br /> 0!3, <br /> 06PERCOLATION RATE: %= min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: Q,,.0 o SSS RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: ) Date <br /> TEST CERTIFIED BY: Phone: 37g-G6/ Date S - /L-/r <br /> OBSERVED BY (REHS Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />