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ZiAN 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 /> �4�%FORS <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: l IQS J CITY: <br /> OWNER NAME: C f IlAr <br /> DATE: I D <br /> SOIL TYPE: S l C APPA CATION fit:_�1�(�� (�V DEPTH TO FIRST WATER: Ft <br /> l ' G�nfl _ <br /> REMARKS: J <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> -� <br /> t I <br /> ? 04 - <br /> I <br /> 7 I <br /> SOIL PROFILE (IF REQUIRED <br /> Depth Soil T e De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: La in Depth: jiniParcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED I�'� TIME READING WATER DROP REFILLED <br /> -- a _b <br /> q a v. l i <br /> I <br /> 0_0 1 S u a ,z <br /> 0 3• �� c� . a 13� <br /> a 1 0 — <br /> �I — <br /> C)a. 31 — <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: `,"l T _ Phone: 11 ( )"��W�/— 1��' Date (I �� C <br /> TEST CERTIFIED BY: _ Phone: Date <br /> OBSERVED BY (RENS): Phone Date <br /> EHD 42-03 REV 1112109 <br /> PERC TEST RATE FORM <br />