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PQ�Iy SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4��F ORa` <br /> PERCOLATION TESTRATE <br /> ADDRESS OR LOCATION: 3-rAr,F, J+LW A�j;4D 1 -rae,`I 64op h7/ CITY: at/lls?k <br /> OWNER NAME:—i y 6�A DATE: <br /> APN: A63` ZOO-:I APPLICATION#: DEPTH TO FIRST WATER: /`' �O Ft <br /> SOIL TYPE: <br /> REMARKS: lA lv) eO A.5-r 24 Ats <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> r- r, rid I m _ . D r --�- <br /> I F— <br /> I1 <br /> C-I-- 4 7--1 1-F-1 1-'-1 17 <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type_ De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I De the in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> a <br /> 0 3 ad 215 <br /> .o 5'57 <br /> Z 67 <br /> r ` / 06 1 <br /> , <br /> t <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECO MEI D SEPTIC AREA: <br /> TEST PERFORMED BY: j Phon : Date <br /> TEST CERTIFIED BY: Phone: Date <br /> UU.I' f ,j� <br /> OBSERVED BY(REHS): .X;z „�H.�_ � Phon Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />