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oeaYl�y SAN 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 /> /- <br /> PERCOLATION TEST RATE 1 1 <br /> ADDRESS OR LOCATION: <br /> f d K�� �7 /!LAZ "P171 CITY: <br /> OWNER NAME: l, l - 2 ' kA"'S' i lI' //I, DATE: <br /> APN: APPLICATION#: S�'�r7� Q� �!' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: j Gus r ✓ •m` __ -_— --- <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ( pi- <br /> TZ� <br /> i i i—i--i ± I I_1 i fr <br /> -t-, --r--�—r T—j--j <br /> SOIL PROFILE (IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> _Test Hole # 1 Test Hole # 2 <br /> Parcel: Diameter: ( i-n-1 Depth: Parcel: Diameter: in Fbepth. in <br /> TIME_ READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �y -7, Ci <br /> old-6- !, b (J,UU <br /> /02-157- q• 2 o f -�- <br /> /os5 e? er <br /> 2c7,v4 0 <br /> 55 ,p v n/ <br /> I2-5 r d,v1 --- - — - -- - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: PhoneDate /C/��, % <br /> TEST CERTIFIED BY. Phone: Dale <br /> OBSERVED BY (REHS)� Phone - _ Date 1 �� ��_ <br /> T <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />