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1 W <br />4�I SAN JOAQUIN COUNTY <br />1 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 />CITY: <br />ADDRESS OR LOCATIONC" - L - I a <br />DATE: <br />OWNER NAME: _ - . - - Ft <br />APN: i <br />APPLICATION #: ISA I O!itJ G DEPTH TO FIRST WATER: <br />SOIL TYPE - <br />REMARKS:. <br />L- ATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br />Test Hole # 2 <br />ParcelI IDiameter <br />n Depth: n <br />minlin <br />PERCOLATION RATE: <br />miniin <br />PERCOLATION RATE:-- RECOM ENDED SEPTIC AREA;Date <br />RECOMMENDED SEPTIC AREA: Phone' ' 1�' iY-4,, <br />C. Date <br />TEST PERFORMED By Phone 2pf <br />Date _, <br />TEST CERTIFIED BY: 2 Q Pj Phone T $T RATE FORM <br />OBSERVED BY (RENS) <br />EH0 42-07 RE! 11009 <br />f <br />Ft <br />�� <br />■ X79 <br />Al <br />■ <br />It1. <br />' <br />■ <br />■ <br />■ <br />I■ <br />Test Hole # 2 <br />ParcelI IDiameter <br />n Depth: n <br />minlin <br />PERCOLATION RATE: <br />miniin <br />PERCOLATION RATE:-- RECOM ENDED SEPTIC AREA;Date <br />RECOMMENDED SEPTIC AREA: Phone' ' 1�' iY-4,, <br />C. Date <br />TEST PERFORMED By Phone 2pf <br />Date _, <br />TEST CERTIFIED BY: 2 Q Pj Phone T $T RATE FORM <br />OBSERVED BY (RENS) <br />EH0 42-07 RE! 11009 <br />f <br />Ft <br />