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P° " SAN JOAQUIN COUNTY <br /> �O. +to <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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: n��ri r'I W. �l}t. �i(Y� P CITY. 7 <br /> OWNER NAME: L 1"� `��(`/ 11, r-' / DATE: �0 IIA1Z°J <br /> APN: APPLICATION#: d I1�_ DEPTH TO FIRST WATER:_ Ft <br /> $OIL TYPE: fV-(,%A AC F01C l`Iktc( ( M _ <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> i 1 ! 1 i t E ! i i i i { ! i i i I , i • <br /> 1�1-0'-3------•---,.;_ i ' ' + 1 ! S 7 j I--E---� Qi---(`�� -3 #1 r�j �CS` --(--` <br /> N <br /> -:--.--ems _i. l-1 <br /> 41 <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type De th Soil Type Depth l_Soil Tyle Depth Soil Type <br /> Test Hole#4 3Test Hole#3; = <br /> Parcel Diameter: in Depth: in Parcel: Diameter: in beth: in <br /> TIME READING I WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> L4.'t S"' rv"I p- 9,A-11e+a 2.. <br /> 3-i CC LI-42 <br /> -- 3 K5' b.1s, cliltto S.11' � p -1 <br /> -- , ti-Ci Llr .IS' ut7 Vit- ! •Z4r -- -- <br /> 5'o � ' F ti-c <br /> l20 tib' r of-y r(�az.t -g ! <br /> f _ <br /> PERCOLATION RATE: �.,9[ Wk ,vh min/in PERCOLATION RATE: 77 min/in <br /> RECOMMENDED SEPTICkj REA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: &1'-,e t Ot r1 2- Phone: fid)41 71)NO Date 101AD <br /> TEST CERTIFIED BY: llke $ kji4i Phone: yvk-Sas -3734 Date 19110.c, <br /> OBSERVED BY(RENS): Phone�LvA� fjk. 01.2_ Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />