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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: 5U6A 2 CITY: 7_/sAG!% <br /> OWNER NAME: 9(2L1__k1 DATE: A/I <br /> APN: /6 D - d O APPLICATION#: DEPTH TO FIRST WATER: 3.3 Ft <br /> SOIL TYPE: 7_15��5 0L L_DIAI L 7I <br /> REMARKS: 3ui _nZAl� lj A e F — SuTN <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRucTUREs <br /> _j <br /> +-- <br /> r <br /> T11 III <br /> LtJ <br /> I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type I Depth Soil Type- Depth Soil Type Depth Soil Type Depth Soil Type <br /> O' ' L C L <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: - Diameter: ,� in I Depth: in I Parcel:A- 5 1 Diameter. s in I Depth: 3G in <br /> TIME READING I WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> — :Q :,? > <br /> - ' 62 _2_ , 60 ( I � <br /> DD <br /> ' <br /> D ' o o2 ,6, ' ' ' a 6,2 ' . 24 .1 0 <br /> 7a 2 :d 1. a <br /> ' <br /> 4 <br /> PERCOLATION RATE: I • min/in PERCOLATION RATE: <br /> ,75- min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDS SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:o2o 9- 7O1 -165.2 Date q hi <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): ✓ Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />