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oPg�la. 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: 2OSOoy\ON. Drive, CITY: -Tc ckc-,I „ C.A <br /> OWNERNAME:- PqU, Sc1,n6tf-y DATE: to%ti/Zt _ <br /> APN: 2-11- 160-7-0 APPLICATION#: _ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: SQY1d 1 ��a�l <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i <br /> _ <br /> T- - I ' I-- 1 T' <br /> F T- <br /> - -.--` - - — ;- -+-�— I <br /> f ow <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> Test Hole # 1 1 Test Hole#2 <br /> Parcel: I Diameter: S,5 in De the 51 in Parcel: Diameter: S.5 in Depth:5 t, in <br /> TIME READING WATER DROPREFILLED TIME READING WATER DROP REFILLED <br /> om- $:05AA St-Sin 34.5,r1 <br /> $:150AM-9--MAIIi 140-Stn O.S to 40 ih 3b:h Z ih 34; <br /> OVO0AN-T. Notn lin 'bkh q:05A►1-q:36A 33.5in 0.5ih 33 in <br /> T'WAM-10• 3$; lin 3,11-o-,-- q:35Aµ-10:o1AM 33.Sin I Stn $2-P, <br /> 0.00MI-►0:30A 3gcn Oin 39ih 10-05A41-&t0: 3463 l it '53ib% <br /> 10:30AN-q.00 $`aSi� 0,5'n 38ih tD:3SA,q-It: 3'J$i �i 32.si`t <br /> AaypMlt-tt:Sp�,µ 15i' O.Si�t 31�� W:05A%-11-3SA _ 33Si *S• 33; <br /> i%,-wA1n-%V-0vfA uin 1;h Vol tt:35Mt-�2� : b3SonO.Si 3�L� <br /> I <br /> PERCOLATION RATE: �0 ', min/in PERCOLATION RATE: Go min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: EAfA(X AUC\ 1/dkkn C'q Phone: (9'W 31S •Z 842 Date 10/12-/f. <br /> � <br /> TEST CERTIFIED BY: Phone: Date _ <br /> OBSERVED BY(REHS): ` fQ ` a1jt��� Phone Date l0 12 2\ <br /> FHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />