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� <br /> SAN JOAC,QUIN 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 /> J9ov.or 9 <br /> A«F O ftp <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:-2-600 E L%bE;!-"M 4-A04-A03"Z �. (uW 12 5 214r NTp ►gyp CITY: Gp�u - <br /> OWNER NAME: y tJ� vel (QM�h�T CIC Tj?A J -_SMITH DATE: <br /> APN: WS-- Cp3C2 -C'-t OOf 020•-02APPLICATION#:. Pit-A O'}D00-74 DEPTH TO FIRST WATER: '1 Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> �- j �—�—i--` i—' 1—;—{--�—�— -i-1--- <br /> ��— <br /> , <br /> • ?--7—�-I T-2—'�:_T_��—�'+ .(�i�`I-7—iTfT'5-3--�j- I � ; : ? � I e �—d-- <br /> I 1 1 I i � i I i 1 i i 7 E ( ! 1�-�Y1 � I 8 1 I a • I !_I—f��j—! 1 l ! <br /> TSI_ <br /> } - LI—l�- TTS <br /> 1 i —�. -. <br /> FTI - - _ <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil T peDe th Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 2S Test Hole#2 <br /> Parcel: Diameter: in Depth: Y'Z- in Parcel: Diameter: in I De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> j7 <br /> .o <br /> fty rab •`!i 6f <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: � 1. Phone: RV-V- Date �1, '•• - ?t 21' <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): i i ; Phone Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />