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Pq��k <br />SAN JOAQUIN COUNTY <br />WATER DROP <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />T 'd <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />t <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />a' 3o F.. <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: <br />Moue N..,}t wn- CITY: �Io.' <br />OWNER NAME: Jed <br />(„Il raw.!-. L -1 -ID i�r� DATE: �.ay•?' <br />APN: os -y - 09cf- aq <br />APPLICATION #: DEPTH TO FIRST WATER: <br />SOIL TYPE: <br />REMARKS: &.1 eu%tc 41 <br />J <br />I OCATION OF TEST HOLES !SHAW WFI_LS AND STRUCTURFSI <br />Ft <br />i <br />READING <br />WATER DROP <br />REFILLED <br />—__t—l—L– <br />'�' <br />t <br />11.9 <br />a' 3o F.. <br />1�. � 1 <br />n 3 <br />i�• aS <br />:- <br />YZ, Ib <br />---•�_ ' �f--I I--�- i1--i <br />•}—I �6 <br />-l—'--�•---i <br />� <br />�i <br />� <br />�_ <br />� <br />i�.'a t <br />�i—e <br />�i ' � <br />_F—•[ <br />1 ��l__ <br />i <br />1']• 141 , <br />�I <br />) _;—Ll_i__;_ <br />�---�_ �� <br />1 t <br />1 I i � <br />-- 1 - - <br />i I! <br />1 t <br />-- <br />I j <br />-- <br />{ <br />i <br />- <br />1_ ! <br />1.ia r <br />i i e <br />- <br />- - <br />f <br />--- <br />i-------- <br />? TT <br />-17" <br />! ' {— <br />�- -- - I...._i <br />R <br />J- IJ <br />i.— <br />IT!___ <br />� 1_-1 <br />-� <br />- -- <br />i <br />ItdI <br />5VIL I-KUI-ILL IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />oLt4+, c w_, .E r -,-a Test Hole # 1 --1 Test Hole # 2_ <br />Parcel: f LA Diameter: in I De the ,-!w. in Parcel: Diameter: in T Depth: in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />q:Do,.,� <br />'�' <br />�••'- <br />11.9 <br />a' 3o F.. <br />1�. � 1 <br />n 3 <br />i�• aS <br />lo'.ou ate-• <br />YZ, Ib <br />0•ll <br />-- /p•So �.� <br />1�. R <br />i�.'a t <br />fl'.oJ �.. <br />I � <br />e.p <br />1']• 141 , <br />11'•31 a.• <br />- <br />�?. SL <br />O'ob <br />�? 111 <br />1.ia r <br />t7 ?1 <br />e.oC <br />PERCOLATION RATE: sa min/in <br />RECOMMENDED SEPTIC AREA: _ <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />TIME <br />READING <br />I <br />WATER DROP REFILLED <br />-_ <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />