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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: 3-7 3 / VAI_Jt N'5W_r_0(1 K2,�2t CITY: �Q CACI;om 922& � <br /> OWNER NAME: 5HIAKk5 DATE: Xi7�-.�- a'f'.4 t7, Z L9 <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: _Ft <br /> SOIL TYPE: ,,V2 / D <br /> ! <br /> REMARKS: 0 51A N p l�_6i I/ Ailig- i�fj /Z Nre f9f•'i•0A k1__. <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> Wil ' <br /> 4:1I I ! - <br /> � ��11-7-1- <br /> i�i� I I i I I _T_ <br /> ,�7771--1 <br /> I� I�T I i --- " <br /> T111--1 E I I 1 1 1 I I i I i i 3 1 s--1 FT I I <br /> rif IF— <br /> 7 '- <br /> . 7 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Tye Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in Depth: in [Parcel. i Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> /0' 3 ZZ- 7 — -- <br /> 2, -- <br /> 2� 3 <br /> i # - <br /> v Z1. D ' �� �� 3 <br /> ! <br /> .1 36 .L-Z• - <br /> G e2 J_ 2, <br /> • � u <br /> . 3 <br /> a� 0' <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC 566ki5p2pref, RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date /A Zs v� <br /> —1 <br /> TEST CERTIFIED BY: Phone: `` Date <br /> OBSERVED BY(REHS): Phone� .i(Ql(p , � Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />