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SAN JOAQUIN COUNTY <br /> y 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I03Q L e• - ,yN q �,,,A•%7 CITY: An-A.,-9r, <br /> OWNER NAME: W J-Ac.,r�i a DATE: 5"1�;'I -) <br /> APN: Qf:Z 'l f 7 e d 17 -24V-17 APPLICATION M 47A'`I g00r70 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: / <br /> REMARKS: Ff0 GJIr�LS 6a- <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> '�-i-i !• i i <br /> - <br /> IF <br /> 1 <br /> I - 1 <br /> I 1 1 1 !1 1 1t t <br /> 77 T77FTI / r r I FT-1 T77 TT7 I 1 ! TF] M FTI <br /> FamrTI---I _�] r� rnmr� � mr� <br /> - --t-1 r -r� } S F-1 <br /> -- -' _ 111 1- I I r1_1 <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: t Diameter: & in I Depth: 42 in Parcel: 2 Diameter: 6 in I Depth: a*z- in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> QS:SO 3, �=' �o 3?� 3,41 <br /> o : 0 3,31L 3.;.a , // Z Co <br /> 14 : Qty .Z. 48 ,�$ 0 boy 2•yf ./S' <br /> .17 <br /> it Qo 3,14-1 • -5 ?'g5 //:�� 3. Z.`` , � 2.,�S <br /> ao <br /> PERCOLATION RATE: , minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: 121 RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED qY: 1-" Phone: GZPIIZ) 57y-�6/ J Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REH ): Phone Date Cj <br /> EHD 42-03 REV 11/2/09 WRC TEST RATE FORM <br />