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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 /> cd�lFORe�`: <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 5UZ1A R L7. f .5OC171 A10U_V,2R f!/,5 –S /' CITY: 7-RAc,!Z <br /> OWNERNAME: IIVLI--l/ CD{'YiMF,2� /'fhr�� LLL' DATE: /A<� I1 /9. <br /> APN: 1� l.Z '16 O - APPLICATION#: DEPTH TO FIRST WATER: 3.3 Ft <br /> SOILTYPE: S 13�LDN1/ i� �/ 7I <br /> REMARKS: P u t t 17 j V 4 S A e R — <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> f I l i i f I I <br /> 71 <br /> h— I <br /> - E --ffiT <br /> -- —n-- F <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 0-11 LCL <br /> O' 1, <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: -S Diameter: in I Depth-: in Parcel: - Diameter: S in Depth: 3 in <br /> 5 T E sLA9.Z96 :pT I <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> / :0 r %__ --- - <br /> O 4 0 ' 3G•' <br /> 0, :3(." ' <br /> D GO" 02. to ' �. (o2-' D. 2 .z o' <br /> o I o • a <br /> PERCOLATION RATE: - 1 , -T min/in PERCOLATION RATE: l,P S min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDEP SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:o2o 9- a2 -/6 5-A Date 3 1 9 <br /> , <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />