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po�lk SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Q��FOR� <br /> PERCOLATION TEST RATE // I <br /> ADDRESS OR LOCATION: I '� 077 bV. -5A k_,5 x%p e— CITY: <br /> OWNER NAME: DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: �` � Ft <br /> SOIL TYPE: <br /> f 1 <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> , <br /> FB E <br /> r <br /> �--, L - <br /> - tI.--JE <br /> ....... <br /> t <br /> • t ; � { { :. i I y _..i i s iii i t .; 4 ..3,— <br /> i <br /> j___j11 I_ I i -.I i - f I _f f. _I_ I I f I__._I 1 T E f <br /> ii <br /> � T1in � m <br /> I I � � i n l� �i� i � 1 I <br /> r— <br /> , <br /> .. _....I ..._�I <br /> LF <br /> 17 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type_ <br /> r <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I De thein Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> i <br /> - CC <br /> tri. t✓ ' � <br /> �. <br /> LTU r <br /> c v ' .5'. <br /> s <br /> PERCOLATION RATE: %y,717 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phon4f)q-466-qq5� Date � 3 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />