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oaa"?y. SAN JOAQUIN COUNTY <br /> y:. : .,o <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 /> a�/FoR�• <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:ZAOOO E t-jgE��.l EZ Lcw ,"S P-&mE To CITY: GA�L-T _ <br /> OWNER NAME:. QempgJ_�-� �1F-t tQM�I.I't' C16 DATE: - 7-Z- uv' <br /> APN: ()C9S- fD3tl _0-1 0dC%OZO-O2APPLICATION#:- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> j j- <br /> F-L -7 <br /> : € . <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 9-4.3 Test Hole#k-2 Z <br /> Parcel: 10 Diameter: ,% in Depth: .in Parcel: aL,41 Diameter: `" �' <br /> P7 in De the , , ,. in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 9 2 a(b <br /> Ci? <br /> Z l ♦� <br /> S fo:o o�- <br /> ,ob <br /> : <br /> PERCOLATION RATE: ??.7min/in PERCOLATION RATE: �S min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: /'f t Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): Phone Date <br /> EHD 42-03 REV 1112/09 <br /> PERC TEST RATE FORM <br />