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U.f. 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 /> �tFOR� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATIOWTUM E LI%EPT`r Rz +•Z(0$rV )J LOW ER-S P_& TO 'jgCITY: <br /> OWNER NAME: CIC rlfJK- NML-nzi DATE: <br /> O <br /> APN: (,OS- �3o - —I 00�020-02APPLICATION#: P � OIF000-4 DEPTH TO FIRST WATER: `�- Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I I I I I I I l E, l l l l I I I 1 1 ! 1 • I I I I i l l : I i l I i i i l 3 1 <br /> L re i 1 S E I <br /> �. —T <br /> Y'�I�1 s i <br /> i_ <br /> I�T�IIF fTT-1-�1_ <br /> 4 ] 1 FT-f-f- <br /> E1 r I1 <br /> LL 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#9 Test Hole#2 <br /> Parcel: ' !, Diameter: in Depth: in Parcel: Z Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> p.rr 'I OF- �-DoIL <br /> � <br /> '�• Y! a �• i D- ,.) ,!Ei �CIS .O:f' <br /> 7 a-,' <br /> f; Z �� <br /> �o r is' 2.C41 b(o <br /> PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: / ; + ; Phone: I ' Date F <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): (,t, 1;t_-j 4 'r`, Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />