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Pq�IN 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: nUYf ( l or/rT / CITY: 1_ <br /> OWNER NAME:�I ,l11i1��,',E�ti�1 ��i Ga. DATE: -/ <br /> APN: I — -�bV^ YID APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: tQn "V0 <br /> REMARKS: n <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 1_79 <br /> 17 <br /> • <br /> H— • <br /> f C! <br /> i I , <br /> _ <br /> r <br /> f I -t � <br /> I... I <br /> I { i <br /> i <br /> iF_71 _I I 1 I <br /> .. <br /> i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type De th Soil TFpe Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#`4Test Hole# 2 <br /> Parcel: Diameter: Ll in Depth:4 t3 in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> PERCOLATION RATE: minlin 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): Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />