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AquN 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 />L�FOR� PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: 23877 L- eaYnec1 AVe.n ve- CITY: StOcic_-lan <br />OWNER NAME: Tos.'_- VA Id o\6n C)S DATE: 10-9, 207,0 <br />APN: I -I%j _ nZO _ I O APPLICATION #: �SZ Z DEPTH TO FIRST WATER: NSA- �Ft <br />SOIL TYPE: GC." . ?R Rowles( <br />REMARKS: (��(44jw j�ctia6 WtIM PtEMAlNEb IN Tr;:791- hEPLE AE7 Z_Y fAUZ <br />E-----� �� pulz� - I <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />i <br />SOIL PROFILE (IF REQUIRED) <br />!-• • •- !-•M,s •- !-• • •- �-• • •--♦ • •- <br />Test Hole # 1 <br />LParcel: Diameter: 6 in I Depth: in <br />TIME READIN WATER DR P REFILLED <br />Z 5 z'� <br />5-r <br />/Z 4knrd <br />�FRCOLATION RATE- min/in <br />Test Hole # 2 <br />Parcel: Diameter: in I De the in <br />TIME READING WATER DROP REFILLED <br />i <br />PERCOLATION RATE: minlin <br />RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: r^-9wo9t Phone: <br />TEST CERTIFIED BY: hone: <br />OBSERVED BY (RENS):C l'l ae"( SttS12CKiNfPhone, <br />EHD 42-03 REV 11/2/09 <br />Date <br />Date <br />Date <br />PERG TEST RATE FORM <br />