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QQ�IN. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> <f 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �l I �T JO 5��L( 2G�Q CITY: /n.4.N/'?�C•a � 13( <br /> OWNER NAME: K��/: �.;u ,`i .- �G' -r <' DATE: A49Vr✓ 5F-2 271, 2 V 2 O <br /> APN: c;?/6 �;l D- /00 APPLICATION#: DEPTH TO FIRST WATER: ~.25 Ft <br /> SOIL TYPE: S',_ ~ <br /> REMARKS: IV o 'Ally r-F-R ,A GTE R PRE-SOA K <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> - I � ._ I-�—t--!--;—�—�--�_--�—e_.•—}-�8�'y..._..-�I I__..�--Imo._..---+---- I t�_"_j-�_'.`---I-- ( I ( I t--r--�—T.. <br /> -- — — - <br /> -- - — 1 <br /> 1-14-1 <br /> I ! <br /> E <br /> I i <br /> . <br /> i _.. <br /> -7—T- <br /> -7- 7 <br /> I... ._ <br /> I 17-1 1 1 1 1 1I <br /> T -� n-- T <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil T e Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole <br /> Parcel: / Diameter. in Depth: o in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 'I I <br /> 3 ' I 7• 90 <br /> v 3, . o " oZ. <br /> R0 3 <br /> : D 3 0 ' <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 4404 Phone: e94-40 Z-/( 52 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> O <br /> OBSERVED BY(REHS): Phone g` i35 Date t. 7-OZ <br /> EH 42-03 REV 11/2/09 PERC TEST RATE FORM <br />