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Pay N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IN 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ��/PORN <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:. 73o0 29kfa6 CITY: �2AGV <br /> OWNER NAME: �J�I'rI I� Ala45'F n DATE: <br /> APN: ��-Dao- i ' APPLICATION#: �� - J,�j l�I �`a F DEPTH TO FIRST WATER: 6-17 Ft <br /> SOIL TYPE: I lel <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 2 <br /> ....... ... .. - _ �_ 4-4 ...... <br /> .. <br /> .. .... .............._ ...... .... ....... _ a._.._.._' _ _ .......... <br /> a — <br /> �...._... <br /> T— 7 -7 T- <br /> .......... _. i......_ I ..__ <br /> . ......... -E F-1- <br /> . ......... .......... <br /> _ .._.. J.... . <br /> ..... -. _.. ........ � - <br /> I _. . <br /> t i <br /> -- <br /> SOIL PROFILE(IF REQUIRED) k4�A tj CLLR' S L-T 1 S <br /> Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: Diameter: G in Depth: in I Parcel: Diameter: in Depth: in <br /> TIME /READING ! WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7: 00 <br /> 7: 3 0 a <br /> f 1 <br /> // . <br /> pQ 1/ �, 5 <br /> A 4o" <br /> ZI ; 09 <br /> PERCOLATION RATE: . min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED/ SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> � r <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): -,�,t. Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />