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Pq�,N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _. r,r. •Z <br /> ". 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www,sjgov.org/ehd <br /> CqC/FORN`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 3144 <br /> � qr, R.T, 3 p t1,9 14A f0 fE2Ry L', CITY: _R I6 3-f4 <br /> OWNER NAME: !'�I;RPam 5r_,5D5 D_r GIBE i1 DATE: <br /> APN: 51 5 I O' 3 APPLICATION#: Id,O 0>} "7 DEPTH TO FIRST WATER: —3f Ft <br /> SOIL TYPE. �21f <br /> REMARKS: D�FI G A �— <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ...._ _.._. ..... -- <br /> ._., � .. n.... . A...._I <br /> 1 t 7 <br /> I F <br /> n 111 <br /> FTf <br /> F- <br /> ....... <br /> 1 1 II __3 3 ) \ t i t I $ <br /> i t � § ' i <br /> 1 I 3 I 1 f i i7 <br /> ' <br /> , <br /> I � I <br /> .... .. - - - - - - - <br /> , <br /> 7 <br /> fl- Ff <br /> SOIL PROFILE(IF REQUIRED) SIaT Cj.Q <br /> De th Soil Type Depth Soll Type -Depth Soil Type Depth Soil Type Depth Soil Type <br /> —� <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: I Diameter: f; in Depth: 3l, in Parcel Diameter: in Dept in <br /> TIMEREADING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> :3n 2. �d — <br /> S-oo 1.031 2,7 4' 2_ 0 <br /> 2. ' 1.e911 2,0Z ' <br /> Q G. <br /> iO:G 2.t. <br /> Loo 2.ad /.jjjj� ' - <br /> '?v ?,o/' <br /> PERCOLATION RATE: 35, 7 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: ZOq•66B •14cn Date 3t <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): s Phone j Date <br /> EHD 42-03 REV 11/2/09 PERC EST RATE FORM <br />