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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,sjgov.org/ehd <br />PERCOLATION TEST RATE <br />kDDRESS OR LOCATION: S, Ko % 4,ew- CITY: <br />)WNER NAME: 101 1,AVelle. 4/0 C" I P <br />+ AqA e, JAIINW111DATE: <br />%PN: S54'- LOO -740 APPLICATION 9061 7(b 7 DEPTH TO FIRST WATER: Ft <br />>011_ TYPE: <br />REMARKS: <br />LUIL.;A i IUN Ut- I tb I HULbb (SHOW WELLS AND STRUCTURES) <br />PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH El <br />2" Dameter PVC Pipe 21 Olametet PVC Pipe <br />4- <br />------ <br />OAT w3wwr <br />ftmur4w, PAR Levet: <br />Li <br />L <br />SOIL PROFILE (IF REQUIRED) <br />Depth i Soil T pe De th Soil T e Depth Soil Type De th Soil Type <br />e h Soil Typ2 <br />WATER DROP I <br />REFILLED <br />(4-56 <br />0-2-5 <br />9A <br />Ais5fr . ... . ....... <br />4. 55' <br />Test Hole # I <br />Parcel: Diameter: 44 Fr�7_bethe <br />TIME <br />READING <br />WATER DROP I <br />REFILLED <br />(4-56 <br />9A <br />Ais5fr . ... . ....... <br />4. 55' <br />1 :00 <br />5. 0 <br />5_2 <br />-;0 <br />. .. . . . ... . ...... . <br />IERCOLATION RATE: minlin <br />WPERFORMED <br />MENDED SEPTICrBY: <br />FEST CERTIFIED BY: <br />)BSERVEDBY(REHS). <br />HO 42-03 REV 11/2109 <br />Test Hole # 2 -1 <br />Diameter: i the <br />PERCOLATION RATE: <br />min/in <br />RECOM <br />AMENDED SEPTIC AREA: <br />Phone:(24!j)%q —07 ;tr Date 10/Z!�72 <br />Phone: -2-r,y 31,9-03�S_ Date (t, -Zai - 2 1, <br />Phone Date j <br />PERC TEST RATE FORM <br />