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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 /> ADDRESS OR LOCATION: /v�88 itlOR7-14 ST 2T• 9� ROAf/L1{ � CITY: S /D DAl 96-a z <br /> OWNER NAME:—AIA U s< m$I BL.r� CI Ll(2CH DATE: 56_P7?__M 13 Qe_ I, 120Aa_ <br /> APN: OO('i —07,0 47 APPLICATION#: DEPTH TO FIRST WATER: lbD Ft <br /> SOIL TYPE: 50_ Rin 0 X-r <br /> REMARKS: do S-rAAjr)j uQ WAiEC�AFTP-k Z N!Z fR_0--,0A1L <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I € € I a <br /> �.......__I ' <br /> _ ......._ _.. <br /> I ..�— _....,... ...,.. <br /> I <br /> I d d I t ! I i <br /> .............. <br /> ............. <br /> .......... <br /> ..................... <br /> _ _........ - .._...... ...................... - — <br /> d I i ; 1 € r 4 i i <br /> ---------- T <br /> . I.. . .......... .. <br /> ...t - .. t i <br /> i ------- <br /> i � i € _; � #. � �._....I � I i � i €...... #....... ......I s !_..._ 1.........d I � <br /> € ! _._.�.___.�� t Imo^ FF <br /> , - <br /> I <br /> i <br /> g <br /> f i i i I I fLj <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> TestHole# 1 ....... _.......... - - —... --.......-_......_......_._..._.._._....._ _..- – <br /> Parcel: Diameter: in De the /4 In Parcel: Diameter: S in Depth: e2gg in <br /> r-r <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> : 3 /a a' o�" � � =32 ' o • <br /> X11: 1-2 <br /> �}' /a �j �a -0= <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: 56 RE-Fog-7 RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: a0�- iz-143,2 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> eW <br /> OBSERVED BY (RENS): 0 Phone 20q U& k3 Z Date '?W2 2 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />