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AQU�N SAN JOAQUIN COUNTY <br />�o.. "t , a ENVIRONMENTAL HEALTH DEPARTMENT <br />`mI X1868 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: h; 3 3 3 5 0VT4LALAkpAp CITY: t::SCA4D,,,1 g53;-4 <br />OWNER NAME: _ f 7 WI N ri e AR55r, DATE: _- �L-aI 20 Z I <br />APN: 02 - OnZO' I3 APPLICATION #: DEPTH TO FIRST WATER: �'4 le—a Ft <br />SOIL TYPE: <br />REMARKS: /V0 STAND (N(4 ' fl k-rr rz- A Ffi✓t2 2-4 OR e e r -L S oAtL- <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />SOIL PROFILE nF REouiREm <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />/i - 5iL� <br />I z'Z � r✓1 _ I i i "' (�: �y:�a I <br />Test Hole # 1 <br />Parcel: ,Diameter: s . in De the 3 in <br />PERCOLATION RATE: 3 min/in <br />RECOMMENDED SEPTIC A: POR <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: .4, � in I Depth: /4 in <br />�s <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />.2• <br />:03Z1.2 <br />Z/ <br />04- <br />D <br />/�.0 , <br />2',9 <br />1-2, 0.4- <br />iiiilii' <br />: <br />: <br />is <br />IN <br />FINE <br />SOIL PROFILE nF REouiREm <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />/i - 5iL� <br />I z'Z � r✓1 _ I i i "' (�: �y:�a I <br />Test Hole # 1 <br />Parcel: ,Diameter: s . in De the 3 in <br />PERCOLATION RATE: 3 min/in <br />RECOMMENDED SEPTIC A: POR <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: .4, � in I Depth: /4 in <br />�s <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />.2• <br />:03Z1.2 <br />Z/ <br />04- <br />D <br />/�.0 , <br />2',9 <br />1-2, 0.4- <br />: <br />v <br />PERCOLATION RATE: d2-47 D min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: A -4P-7-165 Date 'h0'-2( <br />Phone: <br />Phone Z-07- <br />Date <br />Date "'D ' Z1 <br />PERC TEST RATE FORM <br />