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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> { <br /> CQ: 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 pax:(209)464-0138 Web;www.sjgov.org/ehd <br /> 4�fFpR� <br /> �n PERCOLATION TEST RATE <br /> L� <br /> ADDRESS OR LOCATION: tt `� aA*O n ��� CITY: 5�o (_4 Oy) <br /> OWNER NAME: ?0_._k\ C'SMG.\r, 3,21 0 DATE: I a a � . <br /> APN: }b 3 3 - Cj l APPLICATION#: SRO C7 �]'a DEPTH TO FIRST WATER: N Ft <br /> SOIL TYPE: C t3. flan�� C 1 OuA W I< ok,i-x�.re Q <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> FTF1 - _FJ - j -f- <br /> f F."I F(] I FED f f <br /> I 1 <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soii Type <br /> O - 3 LQ C_� <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel Diameter: pth <br /> in De : i- in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 16.. 15 7 RC-e a .ao <br /> 8'. 4 5 3JRY - sw' cln it) 1 'R TESD - <br /> 10'. 14 0 a <br /> H � <br /> s� . h� - - - -_- -- - �5 - <br /> I : 0 0 14. IA3 O . 38 <br /> tit.. l0 4 . X90 0. 3 1 1�• 2,L1 - --- - <br /> o 4• a <br /> t I'. 30 - <br /> >> <br /> LAC) s 01a - - I - - - <br /> PERCOLATION RATE: a minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY:;� _ Phone: 0.09 -1-10- 0-131 Date 9`a`� a..t <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): >a` Phone Znj- Date 1/14 M2_1 <br /> EHD 42-03 REV 1112!09 `f PERC TEST RATE FORM <br />