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oP4RAI a SAN JOAQUIN 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: L( J ✓ I d CD C"_6 CITY: l on <br /> i <br /> OWNER NAME: C w 1 G��� ` q DATE: <br /> APN: 02 O - I O O T APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: _ ��� r, ars Cl G - `� l c- <br /> h e S <br /> c <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> F-k= <br /> !10 _09 <br /> [H <br /> F-11 7 F-1 L r_F-11ED i _r 1 � � � I-� r— <br /> SOIL PROFILE(IF REQUIRED) <br /> De th. Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 ,I Test Hole# 2 <br /> Parcel: Diameter. '{`� in Depth: { in Parcel: Diameter: in De the in <br /> �I <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> g ; a l,9 <br /> ' 0 ' <br /> ice_ - <br /> 0 f 00 <br /> tU' so , G O : iS -50 <br /> 11 0 - <br /> ' - - <br /> 1 a 00 <br /> PERCOLATION RATE: r5 L9 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTTI REA:- --_ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: c� 1 +:^�ti./ Phone: aoc�-T�O-0731 Date 1 1 Q ' r <br /> TEST CERTIFIED BY: ���� Phone: Date I <br /> OBSERVED BY (REHS): vt)(I/k4� T '_ Phone Date f ��l <br /> EHD 42-03 REV 11/2/09 PERG TE5T RATE FORM <br />