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SAN JOAQUIN COUNTY <br /> �.•'ate/'•'•O <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: .a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> A��FOR� <br /> /� p PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 7"I 7 I S o u T !( A- I R FD P--T-- WA CITY: 5T0/_!G7 fl/V q 7 201. <br /> ! <br /> OWNER NAME: DATE: MG!n LD/q <br /> APN: T �Sd- D APPLICATION#: 111 DEPTH TO FIRST WATER: N O Ft <br /> SOIL TYPE: P` i-0 <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> �........ <br /> ...._............ . ......... _ ..... _ _. . . .._ <br /> "ki........... .......... <br /> ......... <br /> _...... _. _............... ...... ... <br /> _.. _.._ ...�.F .... .71. ....._. _.. <br /> .._. _. .......... <br /> SOIL PROFILE (IF REQUIRED) s EAnJ G1-A S►'1 rl PJ A f In 4- Y <br /> Depth Soil Type Depth Soil Tylie Depth Soil'Type Depth Soil Type Depth Soil Type <br /> D <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 40 in Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �_... —. <br /> �: •� /Zrl r <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: REP RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date 1 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />