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Pq..l.yESAN JOAQUIN COUNTY <br /> �o.� .co <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .2 <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> !FORa`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 26ce E. l'IBE ' <br /> � IIz-D. � 26f5'o "*J6�t -s.4G . ILD.CITY: CA-C.T <br /> OWNER NAME: EnrRwi- n6VaoPMCAIF q6 ff wit- 5;,y,w pr DATE: S Lam? C-J <br /> APN: OOS-630- 0-7 o jXr020 APPL TION#: F4 134 00074DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: .�.� _Srpia�+ly� Lam•. <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> H FF[ <br /> I I FITF] I I <br /> tLd1 <br /> i 717 <br /> a 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: in I Depth: in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 34 Z,(,#9 .01 <br /> 6 oS- <br /> o Z By US <br /> : 3 <br /> ,9K <br /> 11 Z- <br /> 08 08 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: /Z oLX SG RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY' Phone: Date S— Z <br /> TEST CERTIFIED BY: Phone: /7 Date L- <br /> OBSERVED BY (REHS) Phone Date 2 Za2 J <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />