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SAN JOAQUIN COUNTY - <br /> x .oG ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> '• Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> ri .., . � <br /> PERCOLATION TEST RATE <br /> rADDRESS OR LOC ION: I(O`F4 Lam. V) 00vu.OYi) AVE CITY: 1'1//�Ati�,Fe A- <br /> OWNER NAME: rnl - 6(4 <br /> N DL� SIN DATE: ld <br /> qPN: 2 2(Q - I�-O APPLICATION#: DEPTH TO FIRST WATER: T Ft <br /> SOIL TYPE: (G-C5A7v 2 _ a <br /> REMARKS: -)v DSM fecyo -TOO 6Y15� _ <br /> �S� D l/J�'Z Vii? 5 7 C &'Z '►9�`l !!� C• 7 Z �'!l it�/ <br /> 4G Co Ve6 4f- <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> _4� <br /> -' <br /> I <br /> - <br /> _.�. <br /> , { 1 <br /> i S <br /> • � F <br /> i _ <br /> �- 1 1„�_,1, I I--_I ..l__ -I _�... �__. <br /> �1 I _ 1 � 1 I I � I f�l _ <br /> 3Ty A <br /> Fi <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil T Is Depth Soil T e <br /> I <br /> i <br /> Test Hale# 1 Test Hole#2 i <br /> Y Parcel: Diameter: in I Depth: in Parcel: Diameter: in I De thein <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLEID <br /> I <br /> r .T- ( 11 C 3 /0'!J- 3 11 / (I �. <br /> `` r/ <br /> 3 '` ✓ 1t aS 35- <br /> 35 �, <br /> ► ' 3 <br /> 1r = yo o q"' -74” <br /> � ca � 33 <br /> Z' OU N� <br /> PERCOLATION RATE: 3 T minlin PERCOLATION RATE: 3 minlin <br /> (RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 1 ' Phone: 2o9 S 2 Z It-'/( 9 Date 61: 8 ! I <br /> TEST CERTIFIED BY: Phone: tag S- 2- L/-i1'�i Date <br /> OBSERVED BY(RENS}: Phon lad Date <br /> EHD 42.03 REV 11009 <br /> PERC TEST RATE FORM <br /> F1 <br /> 1 1r <br />