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SAN JOAQUIN COUNTY <br /> '' -"•' �° ENVIRONMENTAL HEALTH DEPARTMENT <br /> �Nx 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •�. '�'j�• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �4CJ�dR�`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: B �!i �!//'/I/ ✓ A--/t E'i tCITY. _ .--('��1. <br /> 6,, .� DATE: I 1Zj <br /> OWNER NAME:/ �..��i ��7��!! Cf'r'—" <br /> APN' ���L� 6 1.Z ' �v l�� r APPLICATION <br /> ;#• DEPTH TO FIRST WATER: �C'% �/� FE <br /> SOIL TYPE: s,��% Sit1!� ,ru �( I t�c rscrl <br /> REMARKS:,'! v.! e/4f r:.' i1 t�0� ¢,� •f� . <br /> Ag-I' C <br /> .LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _E---j ,•\;—'—i� � �'�j i j=i—►---�=i��j L"'---i--1��`��_��I' I � ��° ' L' r ' f <br /> -I -; <br /> 04 <br /> I l f "•: � I I I I I ! I ': I I 1 1 =!'- f l f I I l l 1 1 1 4 1 1 I I ``� <br /> i f i I r l E l f I f f = P I.�;�.t r:- .rl•--.,;---ill i ! ! l l I r _: l i I f � <br /> I I I _ I l i l l ► l f l l l 1F 1< l l ! I I I1 _� <br /> I I f - �� �f ; ;-�-►-- I i :I ��I +°°I � I I- �---I i - i ..'�I <br /> r <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type Depth Soil Type De th Soil T e Depth Soil T e De tl Soil T e <br /> Test Hole# 7 V, Test Hole#2 <br /> Parcel: . Diameter: r in Depth: If- L .in I Parcel: Diameter: in De the ,i,, in <br /> TIME READING WATER DROP REFILLED TIMEREADING WATERDROP REFILLED <br /> C c .� •�� • �. ate/ <br /> C,ill ./t, 1-5 <br /> 4 3 <br /> 4 T• �. 7• �r r ,�C�j, ��jy <br /> PERCOLATION RATE: P L )mss min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA' RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone,� �''%', •�`f: ; '� Date <br /> TEST CERTIFIED BY: v ! Phone:" Date <br /> OBSERVED BY(RENS)' , Phone Date <br />