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awl � SAN JOAQUIN COUNTY <br /> x...�,F•t.co <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `I'• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:02a.5y—w+ycq:!� Imo! CITY: �.f�- Kdzny) <br /> OWNER NAME: DATE: f 1 ( Ag <br /> APN: O 3, U -' U APPLICATION#: U �c - DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> 1 } I <br /> ! <br /> 1 - <br /> -4- <br /> HH, <br /> T-i <br /> I _ <br /> fffl J <br /> q ! � <br /> ! � € �� '• �� ! I ' I j�-��t-i !i^1 i` Wit".}. �" (--; ..�-i-..... <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type <br /> Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # 1 PAZ '2S Test Hole#2_ <br /> Parcel: Diameter: in T De the in Paroel: I Diameter: in---I De the in <br /> TIME READING WATER DROPREFILLED TIME READING WATER DROP -REFILLED <br /> _. <br /> 15- 23S S 2 i �3 _ <br /> a-L <br /> 71 <br /> AZ-I o o - - -- <br /> - - - <br /> - - - <br /> PERCOLATION RATE: min/in& PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �1�id 1 . U Phone:`a— )'(§ qj q(n Date f <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): —11A LA <br /> — Phone Date - - - <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />