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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> I 600 East Main Street, Stockton, CA 95202-3029 <br /> �` - <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#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 1 ' ! <br /> I <br /> I-i-�7�- <br /> _ .......... - � -�_ _ �.. Ell - <br /> _.._.�__ _ I <br /> ( <br /> - 7--! <br /> II <br /> -- <br /> SOIL PROFILE (IF REQUIRED) <br /> ue th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type De th Soil Type <br /> Test Hole# 1 _ Test Hole#2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: inDepth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 'ERCOLATION RATE: min/in PERCOLATION RATE: _ _ --min/in <br /> !ECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: Phone: _ Date <br /> EST CERTIFIED BY: Phone: Date <br /> )BSERVED BY (REHS): Phone Date <br /> -ID 42-03 <br /> 9104 <br /> PERC TEST RATE FORM <br />