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SAN JOAQUIN COUNTY <br /> -`'- ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ur <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www. <br /> �lFOR <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATIQi : ( I �-[ �,� <br /> CITY: <br /> OWNER NAME: g ` C� DATE: <br /> APN: u c\ - r, 3 APPLICATION#:_ > C� O 0 b ��� �C' e <br /> DEPTH TO FIRST WATER: <br /> SOIL TYPE: ^ p:.�-'l L <br /> REMARKS: pY - I l�Yl �/1 � •�( i �'-Ci(,.� �1 ,}-Lr. 1 GI�,C__: <br /> v� r017 <br /> ` C <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> 1. <br /> - �� <br /> Irv- <br /> -911A f <br /> f ` j <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T e Depth Soil—Te Depth Soil Type <br /> DepthC Soil Tye Depth Soil Type <br /> << <br /> Test Hole # 1 Test Hole #2 _ <br /> Earc:e-177— <br /> LA <br /> Diameter: in De the in Parcel: Diameter: in I—De the in <br /> yTIME READING WATER DROP REFILLE TIME READING WATER DROP REFILLED <br /> a nh ,-v <br /> 'SA►Y1 I ' <br /> d ww, i 0 — <br /> I I <br /> ' D 3 <br /> Pel— <br /> PERCOLATION RATE: 50 min/in PERCOLATION RATE: <br /> RECOMMENDED SEPTICAREA: min/in <br /> !� RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ��,�� '1�_ Phone: 0C\�j� Zj'�0 1 Date 1l F - f 1161 <br /> TEST CERTIFIED BY: y'— Phone: <br /> Date <br /> OBSERVED BY (RENS): Phone DateI 2 Z� �' <br /> EHD 42-03 REV 1112109 / <br /> PERC TEST RATE FORM <br />