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�a�ln.• SAN JOAQUIN COUNTY <br /> a-•_ter••P <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: 10 500 110(1� 21-. CITY: T(CILT C/f <br /> OWNERNAME: --A:G0.Vt 5 ohne iCler DATE: 1c,�1�2 I <br /> APN: Z t 2 - I G C7 Z 0 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: '_— .n ckl A c kt VI <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I — — <br /> _ I T <br /> TT <br /> f-1-Ll_ I - -�- ) I - 1 - 1I ( l - �I_J , 111II F <br /> I I : � I �IJ I � I I <br /> �j <br /> I— ' <br /> �- <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type De th Soil T e <br /> Test Hole#1 Test Hole#2 P <br /> Parcel: Diameter: 3.5 in I Depth:50,G in Parcel: Diameter: 3.5 in I Depth:5 1In <br /> TIME _ READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0-.io -9:4* '54iti Z 111 3 ; <br /> 2vA -- $:tSAA-$:�I $&( 1 7-6`1 blAitt -- <br /> 4i L1oAx1 q:IoAIA <br /> !"A So) 0.5ih 3LA;,n tin 34iti <br /> 000AM-9:Lt(1 Ws. -% p.bth Slim LA',151A#A-4'. 35iv1 %in 3Elih <br /> 4:y0W-10-_ivW_- b%AAAh Ot --- 3y.5;>1 OGILASAM-10:15 35i+n 1.5- _ 33,5ih <br /> ', Io:tOAtA-10:40 35.5in 0.5in b5 in 10:15A1�A- t0:t{� 3_9'ITt4.5i.t 1.Siti '�3th <br /> 10:417AM-1t•40A '54i11 D i-A 'yAol 4SAIA-11•35 3L•l.5il, 1.5;11 35iy1 <br /> +t:logµ tt•L►o S3.Sih o.5ir1 3�i't tt-15AM• 11:450A LAih 2,:n <br /> 11:40AA+-t2.1�'1 3'h.5:� ----�'S'� 33i'h 1t:1{SA�'1.12•.tSl4lti b�,Si�-- 1.5�n 32;x► <br /> PERCOLATION RATE: rrr min/in PERCOLATION RATE: ZO. min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: EWIAY\ytt Vb0.k tctq Phone: Date (0112)tI. <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): Phone Date 10 1 12-' 21 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />