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Pq�!N SAN JOAQUIN COUNTY <br /> �o.��.co <br /> 2'. TIP— <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 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 /> qC%FORM <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2-1139 2- r_ WlAf A2 CITY: <br /> OWNER NAME: MAN oeL_ 7-4PiA DATE: g'/4 <br /> APN: O(o7- 2-Yo-I/ APPLICATION#: PA - 14-49 DEPTH TO FIRST WATER: 0" Ft <br /> SOIL TYPE: " )/ <br /> REMARKS: A10 W6U-S OW 57-12v"-UXj5S !/yi7}41N /Oo ' g4,ow4 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> tmp <br /> L <br /> I I <br /> T-T-3- <br /> ........ 1_7_7 f-�- <br /> I I I I FF] F r-r <br /> FT '. m EU FU F <br /> 1 ' . To j - <br /> 3 - - <br /> �Fk F-M-E-F] Fr] r-r] <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # 1 Test Hole#2 <br /> Parcel: 1 Diameter: S in Depth: ¢z-in Parcel: 1 Diameter: '3 in I Depth: ,i:_ in <br /> '- TIME READING WATER DROP REFILLED TIME READING WATER DROP I REFILLED <br /> $!00 ,-I r- -- 3.s- ,50 Z-ST <br /> 30 ' - . SD 3. // /0 3.z5 . 30 <br /> 00 . 5v Z. /.'?v 3. 2. <br /> - 0 :30 3.'= 1• SfI 3.Z' 36 3 <br /> // .00 !x:0:7 3.3Z 3z <br /> fl . 3o SM p fAtIl. 941.0C#Q ALZ <br /> PERCOLATION RATE: min/in PERCOLATION RATE: -2,51 min/in <br /> RECOMMENDED SEPTIC AREA: I2,00c) 5t- RECOMMENDED SEPTIC AREA: '� r <br /> TEST PERFORMED BY: MIS JW Phone: (Z q) 33¢-(,&13 Date 1j/ /4- <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REH6j. Phone 4/j -- 3`t"_ Date JK-�-/ <br /> EHD 42-03 REV 11/2/097- PERC TEST RATE FORM <br /> L. !/'moo - 3.27- , 34_- -3 <br /> �i : - 3 32 - . 32 - �Sqo <br />