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r <br /> q�„� SAN JOAQUIN COUNTY <br /> � N ENVIRONMENTAL HEALTH DEPARTMENT <br /> il <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> q�.Folz <br /> nn �! PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 7� �� t�71-PI�IL�/` ai CITY: S /OG�CTp� <br /> OWNER NAME: UGI r� Q l�'S �l 1` DATE: ?$ s r2 d C7 <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: ^' Ft <br /> SOIL TYPE: ` <br /> REMARKS: A/O S?d A D l G (f17-'!z A TG 2 P2 ' ✓/�� <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 's t .: <br /> _.. <br /> I i <br /> , <br /> I I .._.i a ► — -----i._ <br /> i ( T4-H-T-1 <br /> # f ” 1� <br /> I } t ._(�.� •--1 Imo; I� ? d <br /> 77-71 <br /> I 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 Test Hole#2 1.5- <br /> Parcel: <br /> SParcel: 1 Diameter: in I Depth: ": in Parcel: 01 Diameter: S in I Depth lg"in <br /> TINE READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7;00 02. 0' <br /> -3 S� <br /> O a2 • C�' DN o?• ' <br /> 3 a2 , 7 <br /> V7 3 3 T' <br /> 07 (P Z 14.(O S !o ii <br /> d <br /> I <br /> PERCOLATION RATE: a 2 7 min/in PERCOLATION RATE: 35--7 minlin <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: a�9-��Z' //�Sa Date !o,Xa 9 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone(ImF=t CGkka- Date \O <br /> EHD 42-03 REV i/2/09 PERC TEST RATE FORM <br />