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�ii� jave -IC <br /> o�q�lN SAN JOAQUIN COUNTY 950� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> i" X 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4`=6' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: !iqt A- U" (Al�VL�'� 1 Z CITY: - LtxA <br /> t 4 GA Q <br /> OWNER NAME: To ZL ei' __DATE: 1 0AV�l I 2:9 ��I�� <br /> APN: C j ICL ai APPLICATION#: t�C +� �� S DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i_L__J _ ! vw_-t <br /> I L__1 <br /> Ii <br /> E I 1_4 <br /> ._ <br /> .... <br /> -M FF <br /> —-t 4 V -- - <br /> I—1 <br /> . Il--gl i ,w <br /> T1 [d -1 <br /> l <br /> ? 1 1 F-1i 1 1_ rh., l 11 <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: Diameter: in De the �Z_ in [Parcel- Diameter: in Depth: in <br /> TIME READING WATER DROP, REFILLED TIME READING WATER DROP REFILLED <br /> 4, IDir D - - <br /> I y-.1 � . ►S 3•G1 - <br /> S o , t - <br /> u 3 _ - <br /> 1u , 1U - -- <br /> 1S -- <br /> , 33 U - ►Z u <br /> 12 h'S•' 0 - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC A_ A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: U(1 !G2 Phone( Wate <br /> TEST CERTIFIED BY: Phone: Date or <br /> OBSERVED BY(RENS): �i� ��w ��� Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />