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oPa91!y. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �9L%FOi��`p <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: "�G� W fzd CITY: ` <br /> OWNER NAME: �Y C�\ DATE: <br /> APN: O I�I -d` D APPLICATION#: S 1� W i y DEPTH TO FIRST WATER: & I <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> 4-1 <br /> . <br /> i <br /> • tt I <br /> i <br /> • ( i I :i i i � <br /> - - r I <br /> �— <br /> I � tI -_ l � -tt ► t Irjj� T-i � i <br /> - 1 <br /> i <br /> t <br /> i I 1 i <br /> i <br /> : <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: in De th:�o in Parcel: Diameter: in t De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ( a4O <br /> - - <br /> �o - <br /> J q,offa _ <br /> PERCOLATION RATE: 2.5D min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone 7-w9',Y6Y-3`{3 ` Date <br /> EHD 42-03 REV 11!2109 PERC TEST RATE FORM <br />