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• cs`"�"'l: SAN .JOAQUIIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> l Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION ;TEST RATE <br /> ADDRESS OR LOCATION: 1 CITY: ► ' `Q -L � <br /> OWNER NAME: 6 .GC..-V" VA Vl DATE: - <br /> APN: ZOO--)b3Q 2#'- APPLICATION#: �GU"T��� � � DEPTH Tfl FIR T WATER: Ft <br /> SOIL TYPE: . `0 AsIA <br /> A <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Tyke Depth T Soil Type Depth Soil Typ <br /> e Depth Soil Type Depth Soil Type <br /> Test Hole# 1 1 Test Hole#2 <br /> [Parcel. Diameter: in De 2 the in Parcel- Diameter: in Dept <br /> in <br /> TIME READING WATER DROP i REFILLED__ TIME READING WATER DROP REFILLED <br /> - - - ?= <br /> ------- <br /> - <br /> PERCOLATION RATE: rS min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AR _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ' it UVG Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): X Phone `68-'0336 Date Zr7 120 R <br /> EHD 42-03 REV 11/2109 -A A44;+1 2>0M rn µj i t' / L,;I <br /> I el PERC TEST RAT <br /> � sf y 4,0�r 30 *4 A fADq 4 j'{� 1. re.�cr�FORM <br /> r „� <br />