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oPg".'y. ' SAN JOAQUIN COUNTY \ 1 <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 /> FoR� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:2-4o00 F- "MR-"Q_p +20816 P Low R�Shi QptwzNT0 RC�:, CITY: <br /> OWNER NAME:. CIO DATE: <br /> APN: (SOS- l) q -O-1 Odd 020-02-APPLICATION#:_Pyr olkOoo"14 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> { <br /> i T. <br /> _L1, <br /> j-T^,_FT <br /> _ 1 ? I �., , <br /> _11 <br /> I I <br /> -__i -r� - � n -� -r�r� <br /> - --ri. 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# 1 'L Test Hole#2 - <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �2 od <br /> 8'�a �•-'� ,rig <br /> la oa 2.c�•? tv l <br /> /0 3n .Ir <br /> OP 3.io + 07 2.7� <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEP IC AREA: <br /> TEST PERFORMED BY: Z`�3 t �! '' ``_` <br /> Phone: �� Date j <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): f Phone 2, Date j-'( 7.02 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />