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PgvIN 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 />��FORN <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 5!d6ti 2 R P. f SOLfTLl -'OL/ ' 7r''/� - S /� CITY: 7-/z % <br />OWNER NAME: _Lii`JL l/('fP.f � G LG DATE: <br />APN: /6 D - d O APPLICATION #: DEPTH TO FIRST WATER: 3. 3 Ft <br />SOIL TYPE: 7 _15��5 0L L_D'IAI 7% <br />REMARKS:l3ui Ll)//l lj A t F — SuTN <br />LOCATION OF TEST HOLES ISHOW WELLS AND STRucTUREsI <br />SOIL PROFILE (IF REQUIRED) <br />Test Hole # 1 <br />Parcel: - Diameter: in I Depth:= <br />ST <br />or- i'Y1iT--L. n. 41. <br />TIME <br />READING <br />I WATER DROP <br />REFILLED <br />30 <br />C <br />? i <br />9" <br />3C9 <br />-'1 <br />I '/,'r'& <br />-7L- <br />0 00 <br />-1• <br />D • -4- " <br />/ <br />17. <br />0 <br />2,& 7D•�o" <br />�'. �o' <br />o <br />o 7,2----- <br />I <br />_ <br />FT- <br />I <br />Til <br />.. <br />fi <br />E.- <br />I <br />+j <br />-1 --H <br />� I <br />t <br />SOIL PROFILE (IF REQUIRED) <br />Test Hole # 1 <br />Parcel: - Diameter: in I Depth:= <br />ST <br />or- i'Y1iT--L. n. 41. <br />TIME <br />READING <br />I WATER DROP <br />REFILLED <br />30 <br />C <br />? i <br />9" <br />3C9 <br />-'1 <br />I '/,'r'& <br />-7L- <br />0 00 <br />-1• <br />D • -4- " <br />/ <br />17. <br />0 <br />2,& 7D•�o" <br />�'. �o' <br />o <br />o 7,2----- <br />I <br />PERCOLATION RATE: -% min/in <br />RECOMMENDED SEPTIC A A: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS).- ✓ <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: A - Diameter: s in De the >G in <br />T51 ­r Or.../^Tir F,.c <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />17. <br />8, 3 <br />a, 2-' <br />PERCOLATION RATE: <br />,75- min/in <br />RECOMMEND;:n SEPTIC AREA: <br />Phone: do q O; -165.7 Date 4Ay <br />Phone: <br />Date <br />Phone Date .3 f l g 6f <br />PERC TEST RATE FORM <br />