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PaV'N SAN JOAQUIN COUNTY <br /> r< '` 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: �7�i(�' I�.i'-/1.9 1" /; ' -CITY: TL"'�'LL's 7•'L <br /> OWNER NAME: % ;�i'� /o 1,r �. DATE: ` h / <br /> APN: I N �',J�C'-" (�lJ APPLICATION#: DEPTH TO FIRST WATER:' t Ft <br /> SOIL TYPE: C.IGSCu �G'lGf <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> --- <br /> - - �-, <br /> - - -. - __ <br /> I I <br /> ra —, <br /> �— II <br /> F] —I-,Tiii 17F-77F—1 f F_1 F_ i 1-1 1—F_ <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> „ <br /> ��-- Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I De the in I Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> O ? .q <br /> 0 3c) A. o Z 6AAq <br /> OU0 <br /> L 3a o . a • '1Q <br /> 00P .1 <br /> 13� qLA <br /> 0 . 10 a. <br /> 12 30 o . l <br /> 130b <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 00,A_,�C, � Phone: Lk(. 'L tb6 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): L!4)) .�?��,,,1,. Phone Date <br /> EHO 42-03 REV 1112/09 PERC TEST RATE FORM <br />