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A4UN.E SAN JOAQUIN COUNTY <br /> �o.� .co <br /> Z' `z 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 /> l PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 'a,yE� CITY; pov 9� <br /> OWNER NAME: ¢L MATT• 1404 A(Ah! DATE: S•EA Igl'r <br /> APN: d'�p, APPLICATION#: DEPTH TO FIRST WATER: 362 Ft <br /> SOIL TYPE: B#:LDin, " S f�Ty h- InIE SAS <br /> REMARKS: JI/rJ S'l�A n!D/�/y IN�}T7l2 �FTL t2 fpm SaA� <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> E ! <br /> I I E BxO si <br /> 0 7 <br /> f al {° 4 <br /> I <br /> I I <br /> i <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil T e Depth Soil T e De Depth Soil Type Depth Soil Type De th Soil T e <br /> rn <br /> 5 <br /> 4�_ <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: /'/' Diameter: 5 in I Depth: in--] Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0 02 . 001 <br /> 0; OD I i <br /> 9, o , 9.z" _?. g <br /> 9= oo' i ,2 . o ' <br /> D• D49 <br /> /0•'30 ' -:7.0 i <br /> pp Iz . <br /> 3 D <br /> PERCOLATION RATE: / min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 24-407_-/&f2 Dat za 1A0 <br /> TEST CERTIFIED BY: — Phone: Date q I _ <br /> OBSERVED BY(RENS): Phone Date 2Z Za 24.5 <br /> EHD 42-03 REV 11/2/09 C7�/�Vve sL+o-/ lo-54 <br /> ,/Q PERO TEST RATE FORM <br /> V� 1 Y '�y' y <br />