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C, SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> C9</FORa\P <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ((-�� ` PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I V J CITY: <br /> OWNER NAME: �j DATE: <br /> APN: '�U U._ PPLICATION#: �l� (�(� O z OS DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE �Uw1 <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I\ <br /> F IFT1 <br /> Ts <br /> I <br /> I I � I I I11 <br /> i <br /> �f 1 f-ir1I i i I FT- FF TTl FT-1 FT-1 <br /> Oy <br /> iI1 -� I - II I1II1 ll ! 1i11lli � <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Tempe Depth Soil Type Depth Soil Type Depth Soil Type <br /> i <br /> Test Hole # 1 h I Test Hole # 2 <br /> Parcel: Diameter: l I in Depth: in 1—parcel. Diameter: in 1 Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 1141 <br /> tom <br /> eadtr � --- <br /> PERCOLATION RATE: G min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:�� ��J„I((� i Date l.j / Ij <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone Date <br /> VV 04"2-01REV 1�'2{°� 1 V (Y 6u_c�. ll�CC.� 5s, 64 f C(.i Z_ <br /> C TEST RATE FORM <br /> w��1cu.tda�,c,�' V` Q� �a (d�Ld w t ' . �ti <br /> 2 ' �k-a r�'C 1 A rt VLi {�f . IV p �l�/(0 V�,4U_i--. C�cwt 4 �7. <br />