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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.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ;26Ct> F. I-IBFq( F-D. 261860 LOW5a S,44 Ao CITY: G-44,T- <br /> OWNER <br /> TOWNER NAME: E AI✓I} 9fy " 04W % fy 4NIC SC#M10r- DATE: 57 - Z-1- Zd <br /> APN: DOS-630^DT • Q6CDh AP I ATION/#: RA i6tj oqq DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE:__ /f J(,a�d�/� <br /> REMARKS: <br /> sb/1- 0Ziv� <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> rim <br /> --H HL ' ' <br /> I I I 1 7-- 1 1 1 1 A I I F I I I I--T---Tff <br /> t -.. <br /> _ — 1 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type__ Depth Soil T pe Depth Soil Type Depth Soil T e Deth Soil Tyke <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: y Diameter: in I Depth: in Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 2 -72 — :06 2 42- _ - <br /> 'I ,Jho b <br /> g . �S �0 2•�. 0(0 wr <br /> Olt Al <br /> ob <br /> o: <br /> ' e • o� 2 6 :Ob L • .o� 2. b0 <br /> -off <br /> PERCOLATION RATE: min/in PERCOLATION RATE:-_ min/in <br /> RECOMMENDED SEPTIC AREA: /Z,o fl= RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED B : Phone: j7v—&6 Date Zf <br /> TEST CERTIFIED BY: Phone: Zo 7 --t%6/7 Date <br /> OBSERVED BY(RENS)' Phone Date <br /> FHD 42-03 RI:V 11/2/09 1 PERC TEST RATE FORM <br />