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SAN JOAQUIN COUNTY <br /> 2: ?` 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 /> O <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: <br /> n <br /> OWNER NAME: CITY: <br /> - •- Y,,, �,+ <br /> -- DATE: <br /> APN: not_ -L r` _ -,s <br /> APPLICATION#: DEPTH TO FIRST WATER: _. <br /> SOIL TYPE: --- -- --__Ft <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> �- rr� - <br /> � f � IIII � <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type I Depth Soil Type <br /> Test Hole # 1 <br /> Parcel: Diameter: in Depth: in Parcel: Diameterst Hole # 2 i Depth: in <br /> TIME READING _ WATER DROP REFILLED TIME <br /> —_ READING WATER DROP REFILED <br /> Vi <br /> S .q �—a — <br /> lu <br /> 3 `tS o of 1 9` ----� <br /> i� 11 I v I -- -- -- --- -- - <br /> PERCOLATION RATE: 6S min/in PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: min/in <br /> RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: e <br /> Phone: Date (, • •� �� <br /> TEST CERTIFIED BY: <br /> Phone: Date <br /> OBSERVED BY(RENS): Phonec� �� <br /> EHD 42-03 REV 11/2/09 <br /> Date �,� Z ' <br /> PERC TEST RATE FORM <br />