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PgUIN <br /> 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.sigov.org/ehd <br /> S�%FORS <br /> PERCOLATION TEST RATE (1 <br /> ADDRESS OR LO/CCATIION: 'Zig UO(c ,,G ✓i-�?7"C 1 LOcITC 2 CITY: (_�fY�(�,✓.-0I3 w 1=' <br /> OWNER NAME: Y L/ ff-x QnM,,J Q c.-Z 1 Lejet) DATE: /D-30 12OtQ <br /> APN: O'd An I8 p G-S APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: jbr10wk•1 a L''r Q <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW - <br /> i (P) OVERHEAD , <br /> POWER LINES <br /> 200 AMP ELECTRICAL -- <br /> L,—_C SERVICE PANEL -� <br /> -- - — � (P) WELL � <br /> 1._.}�—�� ���!--t��-I— (P) 2000 GAL SEPTIC TANK �4 <br /> I i� l d 1 1 I 1 I 5 <br /> a i <br /> ^V. I t ? (P) LEACH AREA <br /> a <br /> 3 : <br /> a <br /> I <br /> — —FLII�-- <br /> jI�t. 147�f <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type —Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: Diameter: 6 in I De the 3 L in Parcel: Diameter: in Depth: in <br /> I <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7 <br /> PERCOLATION RATE: (-2 n min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC ARE RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED 1 Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS).- Lzo,t �' (i,i �'� Phone Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br /> -18 <br />