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SAN JOAQUIN COUNTY <br /> �.-_ •. ENVIRONMENTAL HEALTH DEPARTMENT <br /> '0: 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: 209j 464-0138 Web:wvdw.sjgov.orglehd <br /> `t .k PERCOLATION TEST RATE t <br /> '� i l )e r ': CITY: <br /> ADDRESS OR LOCATION* o <br /> OWNER NAME: t # I �.�`� Wil,vta-'}tom'_ T" DATE: <br /> APN: _ ) APPLICATION#: Aj l fN DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I <br /> PERCOLATION TEST SKETCH I i PERCOLATION TEST SKETCH ¢ _ <br /> _._ 2-IN DIA.I'ti C I'IPF' ` <br /> 2-1v DIA.T'L'C PIPE' I <br /> 4-fN DIA.SOIL BORINCT I-T\DIA,SOIL I3OTiPvG <br /> k <br /> w_.4 x I <br /> a <br /> RUILL I IEIGI IT � y I2TI.L ITT"TCri-T'I' .. <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type.. Depth Soil Type Depth Soil Type <br /> l <br /> Test Hale#I Test Hole# <br /> Parcel: Diameter: in Depth: > Parcel: Diameter; in Depth: <br /> T ry READNG RE.Fit.l.:-.7 T;riAe RF..Acimo <br /> 00A!"4 DROP <br /> 3 � i <br /> . 3 3 _ <br /> PERCOLATION RATE: __ ?___ ___minlin PERCOLATION RATE: _______ __ minlin <br /> RECOMMENDED SEPTIC AREA: ____ _— RECOMMENDED SEPTIC AREA: <br /> FEST PERFORMED BY c <4GG0-------- Phone; � _____._. __ Date <br /> TEST CERTIFIED BY; <br /> -__ _..._......_.. Phone; _?�?.J-32R'oil _ Datel0_ <br /> OBSERVED BY 'RENS}: �,�( '^ �'? �'?__ Phone_`C' - ?'L'_�b�� Date /0/--Y/tor � <br /> LHO 42-03 REV 11,2109 PLRC TESL RATE FORM <br />