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�63 <br /> SAN JOAQUIN COUNTY <br /> z �~ -:•'�y 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 /> 4�/i~ORN� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:-2-1,P00 E Lkb�1z .r268TT 0. LowEF2-S 2a TO 'tip CITY: G6-1--t- _ <br /> OWNER NAME:_Vbh C(C SMC -y DATE: :✓—_-, Z—� <br /> APN: C)OS- Cp3o -0-1 Odf 020-O2APPLICATION#: PW-A OlkO00-74 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> __ i - , s 5 3 i__-- • — <br /> _ <br /> ii 1 I a— --I— -I 3 —t-- L '31--• — C--'—r—�— <br /> �: s <br /> I3 <br /> f�1-f-i _l-T---T-f-IT 1-I <br /> F T, <br /> 3- - <br /> J-1 <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil T e Depth Soil Tv.pe Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 t . <br /> Parcel: Z' Diameter: in I Depth: in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> U%�o r 0 <br /> oy <br /> e ' <br /> PERCOLATION RATE: minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: T Date _ 3• - <br /> TEST CERTIFIED BY: a Phone: Date <br /> OBSERVED BY(RENS): i Phone Date S <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />