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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ra 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. '' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> a `~ PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: -/�D 3 N%%RTH !/ '!�'F //7A�( r L) CITY: STnC/�TO/`� 95ao� <br /> OWNER NAME: ('A/VIP IaOL_.l� I� L/'� DATE: OGTD P— _.2 ,-� F 7n.— <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: -7,3 Ft <br /> SOIL TYPE: r— �L P <br /> REMARKS:_AZQ 5?ANDW4 ro�tz E-i C <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> -• .._... <br /> ...............................--f.......... .... ......... <br /> ................ ------------ <br /> e i f j <br /> ....................... <br /> ........ . <br /> .......... <br /> ..... <br /> ..... <br /> i - <br /> i� I— — -- <br /> 1 <br /> -- <br /> I i <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type <br /> _ Test Hole# 1 Test Hole#2 <br /> Parcel: 4. Diameter. in De the in Parcel: a Diameter: in Depth: :� `s in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> a D I ' I — ; <br /> D ,2. BB 0Ug .2 . . 63 p O �` .OZ <br /> r 3 <br /> a <br /> PERCOLATION RATE: 3 7 min/in PERCOLATION RATE: 3 j 3 min/in <br /> RECOMMENDED SEPTIC EA: E PD RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: .0'0�— -2 -14;r2 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): Phone�G��� (6'2,/j2I Date <br /> EHD 42-03 REV 11/2/09 �`�--- <br /> PERC TEST RATE FORM <br />