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g fly.. SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> '�'�•�• <br /> Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.orglehd <br /> �QU�bRci� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: '✓f�. CITY: . 17k - •� <br /> OWNER NAME: —DATE: <br /> APN: A APPLICATION#: DEPTH TO FIRST WATER: -�C� Ft <br /> SOILTYPE* " - <br /> MARKS• '/ ,ti ,�� � <br /> J <br /> .LOCATION OF TEST HOLES(SHOW WELLS AND STR TURES) <br /> t---i—�- <br /> -i i ! t-I i �!I ;_I_I ; I I ;�' �• �L_,I•__I- I '- , I I <br /> !_! <br /> 1 17-1 A 1 1 l <br /> • i ! t ( ! ! I I � ! [ ! ! i I ! j! ! I I I ! I I ! [ I { ! ! I ! I I <br /> I°_ I 1JLL <br /> SOIL PROFILE(IF REQUIRED)— <br /> Depth <br /> EQUIRED)De th Soil Type Depth Soil Tvpe . Depth Soil Type Depth Soil T e De Soil T e <br /> 12 :L' !y <br /> Test Hole.,#1Test Hole#2 <br /> Parcel: . _ Diameter: �"° in Depth: in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 11 lo <br /> '1 9 J <br /> e• S <br /> PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC EA' RECOMMENDED SEPTIC AREA: <br /> � <br /> TEST PERFORMED BY: �`� ,�,� '1! Phone:UkTA14LIL 1 Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHPhone- 2�c1'-Ok- 3�& Dated <br />