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SAN JOAQUIN COUNTY <br /> n. ENVIRONMENTAL HEALTH DEPARTM 'NT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(2019)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> .ADDRESS OR LOCATION: AaF_Z � � CITY: <br /> y� <br /> OWNER NAME: Ykt4 Cr. 1 DATE: <br /> AM- 10's- 110 - I& APPLICATION R: .3 k DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: 'h-P4;Z:0PAcy - -�;W <br /> REMARKS: _044C--' itC E.l Cf k Ct' S' 0 Vw f t t 1(cc 9 r7=' w c f _ 5;�Tr Ai•i ``t?---- <br /> LOCATION OF'FEST HOLES(SHOW WELLS AND STRUCTURES)_ <br /> y. i <br /> p� s t <br /> ARC 11 <br /> {(I..—...IA <br /> Fu�, IT <br /> —.. � ...__ o-».---E fes^^ • Y 7' - � �7: t = _—�__I ��� ��! +—£ <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type ., <br /> 0- 0>q•5t4 - !D suer <br /> S7(L D'if r�AN <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: in 1 Parcel: Diameter: in Depth. 131.2 in <br /> TimE READING WATER DROP REFILLED TIME REAmNG WATER DROP FtEFILLEO <br /> iZ'3 I 2 e, Ito 3. 270 <br /> 1 low 17� D.015 4, s :08 i 13. '3s r�.r�� r3.2s0 <br /> I ' 1 I coo 0.0(06 i — 1.38 'IZAL 70 <br /> Z5 0. ctv5 I q�ms 2:c6 I F$'q3 e moo IS .290 <br /> Zs 1(ec 1 6. 1 — S"SS i 1?,. 410 0.140 1 13•1-go <br /> Sz6 12ZC OiCW 14i�o 3;0`9 1 t3.qm I 0. 1so 1 3,225 <br /> 3:35 i �I. IIS <br /> 0.6-71) — Z' 1 X3;375 I O,Iso - <br /> ;a5 J, <br /> PERCOLATION RATE: •7 F R O N RATE: �E minlin <br /> RECOMMENDED SEPTIC QR REC���`' 1, D SEPTIC AREA: <br /> TEST PERFORMED BY: C 3/ Phone: Z- Date 6-2-ZciO <br /> TEST CERTIFIED BY: one: ' Date <br /> OBSERVED BY(RENS): y IM�+� 7/6 0 Date � 'z icl <br /> EHD 42-03 � �h�7 0111 ri! f [!S t PE C TEST RATE FORM <br /> 7W04 \� <br /> Is, C <br /> l��F <br /> OF CAv\1 �C <br />