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V.ry. 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.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �6� �• L•'Satyy 12-9. 208VO "4169 •S' . A0 CITY: 644,7- <br /> OWNER <br /> 4LTOWNER NAME: VE^i-'AWT l�15V�C.oPMIE�/T C,o f7Z}Nlt- �/�M10T- _DATE: s 2-1 <br /> APN: 005-&;0-0-707, <br /> OS•(z30"O? DOS�OZO-APPLICATION M ea 4y OUp�c� DEPTH TO FIRST WATER: Pi Ft <br /> SOIL TYPE: . <br /> REMARKS: .50.I ��- <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> 1 i l l I I i t i i i t i l l i l l l l l h i l l c i l l i <br /> 3 ; <br /> --TT- <br /> -1-I-1-1�T- <br /> I <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: F in I Depth: L in Parcel: Zn Diameter: g in De the Z in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> so Y S :o(0 2•Ci 5 <br /> .Axa <br /> r 3 ,yr 1 oto v� <br /> 10 (/ -$) ms Z.�TI vs <br /> .-1y <br /> l L OY Z•`)1 . vS 2 •�� t: at vs 2. 1't <br /> It: 3y z.So vt <br /> l o(o 3 .r o - <br /> PERCOLATION RATE: co min/in PERCOLATION RATE: _- min/in <br /> RECOMMENDED SEPTIC AREA: (Z 0--0 RECOMMENDED SEPTIC AREA: /L, a'�'o-r <br /> TEST PERFORMED BY: _ Phone: Date S` 't - c' G <br /> TEST CERTIFIED BY: Phone: Date Zo <br /> OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 PFV 11/2/09 kP <br /> PERC TEST RATE FORM <br />