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�t. V .. <br /> SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ov.or Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> J9 9 <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 37SI SOG('�I Q/2 D /?fig/� CITY: <br /> OWNER NAME: A//F�AVA 2 D4 L-1- -- DATE: M,4 Z ZQ2Z <br /> APN: 9 5(� � J00 -1� -� APPLICATION#: DEPTH TO FIRST WATER:Z7, ;Z- TbL Ft <br /> SOIL TYPE: <br /> REMARKS: D STA ND/ e2 FT Z q r- PRE �e�/t�L. <br /> O�GB� �aLs/s>= pa�✓ <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ...._..... ........... I........... i i <br /> _. . <br /> I <br /> ............. <br /> . I <br /> 1 a i I i 3 E i € <br /> .... <br /> .......... ........... <br /> . .............. <br /> ......... <br /> I € ........... <br /> _.... _......�F <br /> . _ .. <br /> - <br /> -------- <br /> _ <br /> ........... €._.... ___ ........_. I ......_.. ......__.. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> " GL- <br /> I <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: /S 1 Diameter: 4.5- in De the in Parcel: Diameter: in Depth- <br /> TIME <br /> e theTIME READING WATER DROP_ REFILLED_ TIME READING WATER DROP REFILLED <br /> 0 3. >s <br /> 6, { <br /> 3 � <br /> . 0411 3 <br /> PERCOLATION RATE: 7, 9 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: RECOMMENDED EPTIC AREA: <br /> TEST PERFORMED BY: Phone: �Q9� -�G,Sd Date <br /> FEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): ` Phone 2�j �2( &OCL Date :*S-12- <br /> :1-10, <br /> 2:HD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />