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SAN JOAQUIN COUNTY <br /> ti ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: -y <br /> 040 { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> •4Gi <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: _ � K GZU.a CITY: <br /> OWNER NAME: ADATE: /T <br /> APN: APPLICATION#: y DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I J 11 1 i i J i t <br /> --I — -I — <br /> e <br /> i <br /> : <br /> • <br /> ! I <br /> J I <br /> • <br /> iE l l i i i i l 9 f I i TT- <br /> —_; <br /> 3 <br /> `__ <br /> e <br /> ..... � � 1 I 1 I > - <br /> 1 I <br /> TAT -T�T-1 F ,�-�---�-- 1- T--T-- 1-1----�-- ___---1- --�- 1- �--� �-�--'- <br /> I I a ' ....... 3 <br /> FT-I <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth i Soil Type Depth Soil Type <br /> Test Hole_#_ ♦_ 3 Test Hole # 2 <br /> Parcel: Diameter: in De thein Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 08 2,Y= -a- <br /> 36 <br /> a- <br /> 36 2,rz , a� <br /> Z 24 . /Z <br /> * . 08 <br /> /a 38' , o7 <br /> !/ 00 3. 06 2,2,0 <br /> -2. <br /> PERCOLATION RATE: /(o min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: L90L °/-It RECOMM NDED SEPTIC AREA: <br /> TEST PERFORMED By A Phone: Date <br /> TEST CERTIFIED BY. Phone: Date <br /> OBSERVED BY (RE i Phone 66L,,!� - J f` Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br /> l/: 315 — 2.3) <br /> 12-_6, 5 — Z- iff -- -a- �� <br />