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' '0 SAN SAN JOAQUIN COUNTY <br /> a: <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ID1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ` CC PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: rLGO L-. I.WME g'1'1. CITY: ih+y �J'gTgq <br /> ' OWNER NAME: If)cth1A1L. tNi7Nb/ _ __DATE: <br /> APN: ZrJS-G�Z7' G� APPLICATION M 1'A 13t f7 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE:- �Sw-F .6m�b <br /> ' REMARKS: {JRCI'3 rdrAtJ� <br /> LOCATION OF TEST HOLES ( STRUCTURES) <br /> (SHOW WELLS AND <br /> I IIiT I <br /> • I ll ,,r,�, i— ; ,jtll ¢ i <br /> ' 1 f I 1 1 <br /> — — ts — <br /> a �I <br /> - - .-I- <br /> SOIL PROFILE (IF REQUIRED) <br /> ' Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type <br /> Test Hole# 1Test Hole #2 <br /> Parcel: I Diameter-1 in I Depth: 7i n I Parcel: Diameter: in I Depth: in <br /> ' TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> q,Z9 — — — <br /> �I.28 .Z{•T�2'- -'°Sco' _ A(•290-'...- — -- --- --- -- — — ------ <br /> 'l'.58 (53fsr '5Ge,' 41,Z f-- <br /> – --..—._ <br /> ` , ice' .5ba L4.29D <br /> t0 58 L .-. :7 <br /> ice ,5ba_ <br /> PERCOLATION RATE: S 40 rpih ii>a4 P P N ISEPTIFCAIREA: <br /> min/in <br /> ' RECOMMENDED SEPTIC AREA: c RECOM E /TEST PERFORMED BY: No. tele: Date $ ZIA01V <br /> ' TEST CERTIFIED BY: j ` * Date <br /> OBSERVED BY(REHS): r - _ •�, sa \ O��on �43 >t Date c <br /> EHD 42-03 REV 11/2/09 ST�Tf OF CP��F��• ' Pe C TEST RATE FORM <br />