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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 /> c/FaaN PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: UFO �V ' " / vne Ypc/ CITY: S ` /, <br /> OWNERNAME: W/I. C7(,� TSSi fJ7Zy'C '• DATE: CA h <br /> APN: LYOJ' ' r%`�O `a-3 —APPLICATION#: DEPTH TO FIRST WATER: al Ft <br /> SOIL TYPE Cg, <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> , <br /> f- r-4 i �-'-� __ <br /> s4 , d r FF <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type I Depth Soil T e <br /> Test Hole # 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: I G An 1 Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3 C),03 <br /> o. o,;?- <br /> o S l o •02 <br /> v . r q 0. oy <br /> z a, oz - - <br /> i! 01" -- <br /> Zi o. d� <br /> 124 D, ! <br /> PERCOLATION RATE: 0 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC_ AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: IvLa.a k12i�`� T?t(yt Phon )� -Ss�r� Date / " I G <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): c S Phone Date j i0 -w U _ <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />