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i 3dul 17. 2008 10:41AM Advanced GeoEnvironmental No. 2679 P. 2/2 <br /> SAN JOAQUIN COUNTY <br /> E=NVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> '.`�E. 1,.,w ,•' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> fiwbA: <br /> /��j PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: `�1 `�� �' �r. 21. y CITY: Yy� <br /> OWNER NAME: ('wry ��lvairA� DATE:6—;7K-.4 <br /> APN: 22'5!1 b6- APPLICATION#: DEPTH TO FIRST WATER: <br /> SOIL TYPE:_ 1 / ) <br /> REMARKS:��'"f Ad r^ ,�,(—c� rILI kf- <br /> LOCATION OF TEST HOLES(SNOW WELLS AND STRUCTURES) <br /> 1 <br /> .�'4— L <br /> 1 <br /> 1 { M .. <br /> ----. •:�.!^^+� �_,� ...��_ _���.. ,ter_ � P:�� '^.T-T�._l vw�w.�� ..T�' '� Y <br /> : <br /> 1 <br /> 1 <br /> 1 C <br /> t <br /> r.. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth I Soil TVPe De th Soil Type I D th S0i1 Tvoe De th Soil Type Depth I Soil T e <br /> S11� <br /> 2 S 14 w._ <br /> Test Hole# .I Test Hole#2 _.. <br /> Parcel: Diameter: ink th _Ajen Panel am <br /> Dieter: in De the in <br /> TIME READING WATER DROP ... REFILLED —T7E7ING WATER DROP REFILLED <br /> .Lo-oe, mo - - - - - - <br /> .3-0— . — <br /> a � <br /> O a6 o' - - -- -- <br /> 3 <br /> PERCOLATION RATE: minlin PERCOLATION RATE: mints <br /> RECOMMENDED SEPTIC AREAS i !'e' RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: raR. Phone: Date <br /> TEST CERTIFIED BY: Phone: Date "- <br /> OBSERVED BY(REH - Phone 4tg:;��_3 Date <br /> EHD 1203 PERC TEST RATE FORM <br /> 7/W04 IS3b A114 <br /> lyvL_ .4-Od - 0.va 2.SP' <br />