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JAN 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.Jehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: , �O �� � � LF � CITY: L,c=js�-� ___- <br /> -���iST <br /> OWNER NAME: �✓1 a e PATE:.—----— QO 3��! DEPTH TO FI WATER Ft <br /> APN: � d(p U - 09 - APPLICATION S: } <br /> SOIL TYPE: — <br /> REMARKS: � — � --- -- - --- - <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> 1rn <br /> Fr- <br /> Ir � - <br /> 'i <br /> -- - -T- <br /> A hitor <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Dept, Soil Type Depth Soil Type Depth Soil Type De tp h SO-Tyke <br /> Test Hole_# I �2 _ Test Hole 1#2 <br /> Parcel: Diameter: in De the in Parcel: Diameter: in Det in <br /> TIME__ READRiG WATER DROP RE_FIUBo <br /> Tp� READING WATER DROP REFILLED O <br /> 0:I ?Et --5 1-t I - ____ <br /> PERCOLATION RATE: minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: Phone( 21 1).47 3-101 Date- <br /> 1 EST <br /> ateTEST PERFORMED BY �Cojl4tt-A 1AIODG�S Phone. y Dale <br /> TEST CERTIFIED BY — - — <br /> Phone ___ Date <br /> OBSERVED BY (REHS)- _ - _ <br /> F ND 42.03 REV 1112100 PERC TEST RATE FORM <br />