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' Pqulry SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> C4G I F ORN�P <br /> PERCOLATION TEST RATE <br /> ..-- a <br /> �DDRESS OR LOCATION: ZZ/f ZZ Foo'`-l— � - CRY: �</42.44 -, <br /> OWNER NAME: DATE: i - y <br /> tN: /S APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> OIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLESI SH;OW WELLS AND STRUCTURES) <br /> I J <br /> 1 - <br /> TT <br /> FT <br /> i <br /> -i IVF <br /> SOIL PROFILE (IF REQUIRED <br /> Depth Soil Type I Depth I Soil Type 1 Depth Soil T e De th Soil Type Depth Soil Type <br /> ' Test Hole # 3 Test Hole #2 <br /> ' Parcel: Diameter: in Depth: in Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ' Z. JbI4 `- <br /> a 5 Z 0' <br /> 35 Z • so 0. 0-1 1 ,-t <br /> lD'-os Z �• fo$ •� <br /> e4o <br /> b 2. q3 <br /> I • oS Z D• 2 <br /> 'PERCOLATION RATE: 5T min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A l UtJU RECOMMENDED SEPTIC AREA: <br /> 'TEST PERFORMED B Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone 7,0 - 6 Date S <br /> 'EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />