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P,.4�IIY, SAN JOAQUIN COUNTY <br /> a' z % ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' " 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .��,IAI�t��y.� ' <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ' <<FOR� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: N12 y LtmE. RSD• CITY: 'TRK-L{ SIS Soi4 <br /> t OWNER NAME: KARNAIL SANDAA DATE: 9-q' 220k't <br /> APN: Zs "aZT-Z APPLICATION#: FA Baro Qo DEPTH TO FIRST WATER: Ft <br /> SOILTYPE: SILT SIA <br /> ' REMARKS: SRW taggo l <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) — <br /> � I I I I I i I I I ; I � ILIr✓N I i t i i I � � I I I t <br /> - - --- - - ,� - (--- _ <br /> Tl T <br /> _ 3 <br /> SOIL PROFILE IF REQUIRED <br /> ' Depth Soil Type Depth Soil Type Depth Soil T e Dept Soil Type Depth Soil T e <br /> Test Hole# 1 Test Hole#2 <br /> -- �( - - - <br /> Parcel: Diameter: +4 in De the � in Parcel: Diameter: in I Depth: in <br /> TIME RE�AtDIN,G WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> .qo . • - - <br /> ' •10 W.S(oo' 0.60' q,370' <br /> 1.Wo <br /> 'A.q'(.o' 4.X190` 4.3tca' <br /> �'t0 Li.$too' O.soo' il. ao2 <br /> .ao �{.4d<o' a'06 X43"s — - <br /> Wto Lt.Io0' a.sbd' tt U00' _ <br /> 1.g d.52p ESS) ty <br /> ' PERCOLATION RATE: a PE C N RATE: min/in <br /> RECOMMENDED SEPTIC AREA: `2 $ OM 1 ED SEPTIC AREA: <br /> TEST PERFORMED BY: usr*� N0'l P e Got- Rc Date WzOig <br /> ' TEST CERTIFIED BY: xP ane- Date <br /> OBSERVED 13Y(REHS): s "` Cw ���9�r7_3�.r Date <br /> EHD 42-03 REV 11009 T9Tf Cp`�'\ ERC TEST RATE FORM <br /> OF <br />