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SAN JOAQUIN COUNTY <br /> i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue.Stockton.CA 95205-6232 <br /> ,t!�f Telephone:(2091 468-3420 Fax (209)464-0138 Web:www sjgov orglehd <br /> PERCOLATION TEST RATE <br /> 7 ADDRESS OR LOCATION: t" y /17 1 :51 .1 •,� <br /> OWNER NAME DATE. b-1-1-1 <br /> 4P1/: APPLICATION 0: DEPTH TO FIRST WATER:52•: Fl <br /> j SOIL TYPE •j <br /> PEMARNS'._:1,-,,& <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> - ( <br /> 7- <br /> f rI ( ..._. .—. .. <br /> TT I-B TUR <br /> c` SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type _ Depth Soil Type De lh Soil T e Depth Soil T e De th Soil T e <br /> r .. <br /> Test Hole#1__ Test Hole#2 <br /> - - 1 Diameter - - In I De the In <br /> Parcel Diameter in De th 1 ,�in Parcel <br /> 11 <br /> .� •� 711.1 f f;....... 'fie_if.R DF•li` I_REFILLED__ <br /> TIME RLADIN(: WATLR DRO" <br /> RFflt1 CC -_- - -- - - - <br /> �— <br /> T I i <br /> - <br /> i <br /> PERCOLATION RATE: 414-11, <br /> rninlin PERCOLATION RATE: minlln <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY. JZ A / .(-%='yam Phone Date (� <br /> TEST CERTIFIED BY. Phone: Date <br /> OBSERVED BY(REHS): (U� Phone'<t -L1 ���6 7� Date 1pF lJ <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br /> I � t <br />