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Pq��N 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 /> Qq c,FORa`P i <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: {�' �'J �.• t�� • CITY: <br /> OWNER NAME: _ , — DATE: <br /> APN: ' - -`( 1 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. 1 <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 1 1 1 1 1 1 -t 11 I I I I I l I [l <br /> K. - <br /> . <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth ( Soil Tyke Depth Soil Type Depth Soil Type Depth Soil Type <br /> 4_ - <br /> t - -- -- M <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel;: Diameter: in Depth: in Parcel: Diameter: in Depthe in <br /> TmE READING WATER DROP REFILLED TI61E READING WATER DROP REr iLLED <br /> 0 <br /> 0 is <br /> If `t`3c^ <br /> li •oSa �� 2`I SS" I U 2y <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date 7, <br /> EHD 42-03 REV 1112!09 FERC TEST RATE FORM <br />