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PaUI�! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q.: A <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: 26� �• LIB 1ZD, 269!90 LOW54 S3C . AO.CITY: 6—�'LT' <br /> OWNER NAME:_{IErwPrAyV4- 0XVl Lo/P/bII0A,1 C/O f%+P'ff- --�6#Aof/07-_ DATE: S LZ ZA <br /> APN: a&-APPLICATION#: FA 44 oco7c f DEPTH TO FIRST WATER: ja Ft <br /> SOIL TYPE: f . L, <br /> ff / <br /> REMARKS: �?M 4 ` VA e t n >a •• c f F .l <br /> LOCATION OF TEST HOLES(SHOW WELLS AND sTRucruREs) <br /> �— <br /> s Tii <br /> _ PF � I <br /> � (— <br /> SOIL PROFILE (IF REQUIRED) <br /> De Pth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil TVpe <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Z Diameter: in De the �Z in Parcel: Diameter: in I Depth: in <br /> TIME]] READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> G(.8 2.•79- s <br /> U0, — <br /> 10= 38 <br /> �1= 3$ 7 03 <br /> z= og o8 Ude. <br /> A •7b �;�. - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: iZ,000SF RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): Phone Date 5 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />