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oe4 Iy. 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 /> •gip. <br /> PERCOLATION TEST RATE 1 <br /> ADDRESS OR LOCATION: / 0 6 lAr- CITY: .Sh) <br /> OWNER NAME: W�7r•t GW C�'IS�/ Tzt e�/J2 rs hC DATE: 3'1 -- <br /> APN: 640—�� APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: G%( aM•�-ter S� i•�- <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I <br /> r� rr FIFTH rn rrJI [11, rn IT IT <br /> I <br /> ; <br /> _ —.._... -- - -- -- -- - 1-: - - - <br /> I I <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type De th Soil T e <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: in De th Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0102- <br /> ry 0 <br /> to a <br /> i0 5b t o 0 <br /> 11 20 1 °I, ► 0 , 00 <br /> 1150 g 0 . 01 <br /> iZz0 0• dl <br /> I Z5� l i U. 00 <br /> PERCOLATION RATE: n min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 11 C'-fT�CC/1 Phon Date /'v�ri /R <br /> TEST CERTIFIED BY: I Phone: Date <br /> OBSERVED BY (REHS): Lk, ec- Phone Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />