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�** SAN JOAQUIN COUNTY <br /> 1 g� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA -6232 <br /> :�"1° •!i Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ! Ys�`� PERCOLATION TEST RATE <br /> CITY: <br /> ADDRESS OR LOCATION: <br /> _6 30 ,e. ,,t-��n, <br /> Lam..+- � f �� - DATE: <br /> OWNER NAME: - � DEPTH TO FIRST WATER:/D Ft <br /> APN: L�5S" ' APPLICATION! S�O GBO�I s 1 <br /> SOIL TYPE: Xe? <br /> REMARKS: ' <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> _-H IT T <br /> [ f i -1 <br /> r-- <br /> SOIL PROFILE fIF REQUIRED <br /> De th Soil Type Depth Soil T —Depth Soil Type Depth Soil T pe Depth Soil TyDe <br /> Test Hole#1 _ Test Hole#_2_ <br /> Parcel: Diameter: 4,, in i De the in Parcel:-Diameter: in De the in <br /> I <br /> TIME READING_ _WATER REFILLED _ TIME _READING— I WATER O_ROP REFILLED <br /> as- <br /> 1,25 <br /> s- ' ✓ —� l <br /> /,Z 5" ✓ —� <br /> 'Z s3 is•7S ✓ _ <br /> PERCOLATION RATE: !o 0 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA! <br /> TEST PERFORMED BY: jkx"Sir Phone: Date dl / <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 RFV 1112/09 PERC TEST RATE FORM <br />