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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> I 'I Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> \;iai <br /> 4OR% <br /> PERCOLATION TEST RATE I <br /> ADDRESS OR LOCATION: 2-(; E • 7 �-4 ► ��j. & F\`- } CITY: l L�� {1 <br /> OWNER NAME: f�V �! �� G L =1 C "� DATE: �� '� I y <br /> APN: C' I I - -7 APPLICATION#: `'I�CX� C> >�{ DEPTH TO FIRST WATER: - - Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> r <br /> I C) <br /> I Fn FF I I I I I I I I I I <br /> FIA -1 <br /> F-h� <br /> —� I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type_ Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type <br /> Test Hole# 1 I?, _ Test Hole#_ 2 1 <br /> Parcel: Diameter: P, in I Depth: ZI ?- in Parcel: Diameter: �F in I Depth: 4Z in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 1 , 9-0 t)7 q.30 � o_-3 <br /> lo : oo 0- i­r I ---- <br /> 4 .40 <br /> -- <br /> 4 4u C) <br /> — /1 : ov U 0-2- <br /> - it ID 0 <br /> z V : <br /> -- -- - -- _ - 30 - - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: —7 min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone -36 1 7C'j Date f � <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): & /—i l►I L Phone 9— Date z <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />