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SAN JOAQUIN COUNTY <br /> �o,a .coG ENVIRONMENTAL HEALTH DEPARTMENT <br /> N { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> q�rFOR/ PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: D l�� ��� �Q�'���- �y CITY: L- I <br /> OWNER NAME: Ma'r I a-- - DATE: <br /> APN: 0 S i - f S C - .L t APPLICATION#: SR©Q S`� 3 1 DEPTH TO FIRST WATER:�� _Ft <br /> SOIL TYPE: um <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 3r„ <br /> i.--- <br /> FfFF-11 <br /> i <br /> : <br /> E <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type.. Depth Soil Type <br /> b -L4° cI <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel. Diameter: m De the L in Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIMEREADING WATER DROP REFILLED <br /> �-► 0 a3 5; L45 D y <br /> p a . al a5 <br /> �o o p , 3J (,"p y 5 0 <br /> �' c� Lr".3-7 ti . �o -- <br /> 8 .�1� o, 5 L L3 <br /> L4 aFl_ <br /> �I C? y , 5 ate — _ a aJ _ 3 ---- - <br /> PERCOLATION RATE: ( 01, , min/in PERCOLATION RATE: �(n trn�] min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY:6,'%,t!= 1 c .� Phone: a09 --1 10 -0­1 31 Date 1-1. a I <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): il")�_ Phon� Date 30 21 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />