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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4 � <br /> I, r' 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: <br /> OWNER NAME: DATE: _ <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> � I i I i <br /> I , T—{ <br /> I <br /> __!_-_•�--1._-�_._�.._L_ I I I a.---I !_—i ' .i. � i I I ! I i_I I _ � I �I i I��j--�—1—j_— <br /> _r r�_ <br /> t l i i l i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Tvpe Depth Soil Type _ Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 'ERCOLATION RATE: min/in PERCOLATION RATE: — min/in <br /> :ECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: Phone: Date <br /> EST CERTIFIED BY: Phone: Date <br /> IBSERVED BY (REHS): Phone Date <br /> -ID 42-03 <br /> 9/04 PERC TEST RATE FORM <br />