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�Q a�my 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: _16= E. &t4y- Ind CITY: <br /> OWNER NAME: lea Ane- Zolp—z + �7 p DATE: <br /> APN: 09 1 ' 012 — �� APPLICATION#: S F- t 3 O 5- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: GIA V [0 A r-i <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> 7-7 <br /> ........... —• PEFXMLATM TEST SKETCH PENXM NTEFrSIE701 <br /> 2.varasw PVC p4m r o war PYC Plpr <br /> v = <br /> ]a.tr!� ]air grarel <br /> Itafi L..' L Is'-- L4.31 ` <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth _ Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> D - Z-.a-7 S 1G CL <br /> Test Hole# 1 Test Hole#2 <br /> .......... <br /> Parcel: Diameter: in Depth: Z• Parcel; Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP i REFILLED <br /> 00 Dr <br /> 3U r y 4 .0 <br /> :00 4. 10 <br /> 1 :30 .SS 13 <br /> Lf Lt. <br /> . zr <br /> t4. qs .31 <br /> PERCOLATION RATE: q. 06 minAn PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AR RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phon420°� 36�(�n3� Date 1/2- <br /> TEST CERTIFIED BY: Phone: o9 3 U9-01-W Date <br /> OBSERVED BY(REHS): Yl V Phone •.3®LPb Date NZ81 2A 2 S <br /> EHD 42-03 REV 11009 PERC TEST RATE FORM <br />