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Ft DEPTH TO FIRST WATER: <br />2 <br />Parcel: Diameter: in ! Depth: 42_ in <br />Test Hole # 4 .2._ <br />Parcel: <br />Test Hole #2 1- - <br />Diameter: in Depth: <br />1--t. min/in <br />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 />ADDRESS OR LOCATION: 2 40 N A nov I t1 R2 CITY: <br />C b JCA 0110 5G mLtiec.- <br />Cc-2 - 12.( ,f C.; 3 APPLICATION #: 2 R. CY- ) C5 7 <br />SOIL TYPE: <br />REMARKS: ---:"-;rA V <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />SOIL PROFILE IF RE Ul , <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />TIME READING WATER DROP REFILLED <br />\ ‘ U Vr 4 <br />12-cu 4 , -1 0 , (pS"-- 4.cci <br />12-30 et. '2-- 0 • 5 ?, 14 '1 2- <br />°1) 4, c, 1 o.49 13o 4, 2 2/AD , 53 ° , c) , 2- i f o. 0 .31 0-t) -F-, (et (.2 i 3-I <br />i- <br />• ) 2- L/(2- 0 CD <br />PERCOLATION RATE: ;-3L <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: —rair 1-11-4.-4 111A-TD(1 <br />TEST CERTIFIED BY: <br />END 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />I 13 C)v .y <br />1 Zoc <br />12S' ' S-3 o ‘9c 3,77 <br />I0 <br />_ I3 q.__&42, 1, i -7_ 4, O <br />20S q .7 1 o.Gt_ <br />, -•1 <br />3 os- <br />,90 <br />te <br />_1 <br />l 2..3 Z-t f oc- <br />33s 60 <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: <br />Phone: Date <br />pt Phone Date <br />PER TEST RATE FORM <br />I <br />OBSERVED BY (REHS). <br />min/in <br />OWNER NAME: <br />APN: <br />DATE: <br />-1-dt- 11-11 En m m r <br />I <br />, I 11 F-7-1 -LI rtl 11111 --E <br />H fT n rti rti I -