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' SAN JOAQUIN COUNTY <br /> Rqu�ly <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t 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: CITY: <br /> ' OWNER NAME: DATE: <br /> APN: APPLICATION#: i,>✓ > ' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> ' REMARKS <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> : a : <br /> i—......... <br /> _ Vii.. . <br /> i <br /> ; <br /> - r -1 <br /> 1 L <br /> .- -----.i --l—Y _�_ 1_ __ _ .._.._ —.. ._. TTE...__� <br /> Elf <br /> _._'�— <br /> i <br /> ? <br /> a <br /> a <br /> 3 ? <br /> , ? f <br /> ! ; <br /> r <br /> i <br /> 3 3 ' <br /> , <br /> 1 / <br /> 3 I <br /> `J _ - <br /> 7.7 T � __ �_j.-_ f��f -I .� <br /> I � TT � .. , I_ F <br /> ISI <br /> SOIL PROFILE (IF REQUIRED) <br /> ' Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> ' Parcel: ; Diameter: in I Depth: = in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7 ' <br /> r� r0�- <br /> V'0 <br /> !, <br /> ' PERCOLATION RATE: $� min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: 1'tlu'61) _` ' RECOMMENDED SEPTIC AREA: <br /> ' TEST PERFORMED BY: ;,�a I A Phone: Date <br /> TEST CERTIFIED BY: Phone: Date /o—/ <br /> OBSERVED BY(RENS): ( TJ Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />