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' aa41.N. SAN JOAQUIN COUNTY <br /> r. r , �i ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> "; { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> F°RN PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1.&0 IL LIN,t, . i*. CITY: --Vyt,(H q'-30q <br /> OWNER NAME: K,4'1Z.}SA1L 6AN'DO(A DATE: �-'7-281y <br /> APN: ZSS -o27- o) APPLICATION#: PA tloiyyto DEPTH TO FIRST WATER: Fl <br /> SOILTYPE: 51"-r 5K <br /> ' REMARKS: I,co 4R9 d,I <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> _j - <br /> I �f- <br /> 13 Cft <br /> 1 I c� <br /> t <br /> 1_, <br /> -T- 1 <br /> 41 <br /> ISI <br /> SOIL PROFILE IF REQUIRED) <br /> ' Depth I Soil Type I Depth Soil Type I Depth Soil Type 1 Depth I Soil Type_L Depth Soil Tvpe <br /> 1 Test Hole# 1 Test Hole#2 <br /> o <br /> Parcel: Diameter: in I De the 142 in Parcel: Diameter: in De lh: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ,Ito ..._.� 47.270 <br /> 9%1(0 '3.821 0.JSD <br /> $..H6 `l,trio 0.2Va <br /> ffl'fL +7.570 Q.IIlk- <br /> (Ab — <br /> lO�kie - <br /> __. <br /> S0 2 <br /> PERCOLATION RATE: Z7•g , /in PER TION RATE: min/in <br /> RECOMMENDED SEPTIC A IZ w 1826,EC NDED SEPTIC AREA: <br /> TEST PERFORMED BY: n X02-85 Date $- T•7nic/ <br /> ' TEST CERTIFIED BY: Ph Date <br /> OBSERVED BY(RENS): CIV\V Z 1 y 3 "�-1y� Date 7 <br /> EHC 42-03 REV 1112/09 In,0 0 PE C TEST RATE FORM <br />