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Pa''��r: SAN JOAQUIN COUNTY <br /> r 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� <br /> PERCOLA2DOTION TEST RATE <br /> ADDRESS OR LOCATION: 9 rr `� —1 TY: G�C`Qih <br /> OWNER NAME: 4-n <br /> APN: r,�3�D �C APPLICATION#: —DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> 1_9 <br /> J_ <br /> c i t t t s ) t ( ��--I I — ---�-- i.__• — —1 �— — <br /> — <br /> # <br /> .. 11 <br /> I F 1 <br /> _ <br /> IJ <br /> ,---PIP ,- t f <br /> —��—� i � !rI ...�_.7—._..-- <br /> _ <br /> 7_17-17 f—{ �l -- <br /> t <br /> i <br /> t I t • f t f ' �__ -1 <br /> i 11 <br /> SOIL PROFILE IF REQUIRED) <br /> Depth—I Sail Tyke Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tyke <br /> —-- <br /> I <br /> Test Hole# 1 3.46 Test Hole#2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in De the in-j <br /> TIME READING WATER DROP i REFILLED TIME i <br /> J READING WATER DROP I REFILLED <br /> — cis <br /> a• 0 <br /> :40 <br /> V 0 <br /> PERCOLATION RATE: 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(REHS): Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />