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')o o <br /> aPq".tN SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y......::..... IAC <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> f Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> eq�iFoat'�P 19 ov.or 9 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LO`` mttCATION:'2100 E l2 �{Lkj 2Z +1bgrO Low �S F_& t�aTO CITY: <br /> yQ <br /> OWNER NAME: NN �! VF.1 (QM�IJ'� CIO ,I DATE: ^ <br /> APN: (,pS- C23 g2 -0-1 O0�O 0-02APPLICATION#: P{� 0`}000-7� DEPTH TO FIRST WATER: ^ Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> LL7— i- <br /> - fi — - I — - — -- — :FU- <br /> - <br /> �—, r —; ', . .. _sIL <br /> 7 S <br /> 3— <br /> _ <br /> i_•lel__f�f�l_.._�__-�.�l-f-I_._.1-f-I-- <br /> -T <br /> - 8 3 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type De th Soil T pe Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: v in De the i— in Parcel: Diameter: 9 in Depthe in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ' ��" Z• � �37- 2.g� -cam <br /> 91 'oc�• 2'?S �u , 02- 2.ti� oS' <br /> 1, 3 1UJ <br /> 2-5-r .10� <br /> 2.'1 j �; 11., r 2 .Gt lob <br /> PERCOLATION RATE: minlin PERCOLATION RATE: f, minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: MUCO Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): `VV Phone )(rj lkG'� I ;k. Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />