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STAN JOAQUIN COUNTY <br />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 />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: L'1 r1 P _ <br />ulnliil CITY: <br />OWNER NAME: e`f - DATE: -7, .Z <br />APN: (ri 1;41 <br />�11J% (`%f✓!`! APPLICATION: / DEPTH TO FIRST WATER: -7o Ft <br />SOIL TYPE: <br />_51i Lf <br />REMARKS: l_�.°'L? Lt ✓'�` Gf 3r9 v;lr�C2� <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />_r3 <br />SOIL PROFI1_F tw wzntimr-ni <br />Test Hole # 1 <br />Parcel: Diameter. in I Depth: in <br />TIME <br />READING <br />WATER DROP REFILLED <br />` <br />5-4 ! 75 <br />C <br />. <br />t,- t r z <br />PERCOLATION RATE: 1 toy min/in <br />RECOMMENDED SEPTIC fifEk• <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 1112109 <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: in <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOM ENDED SEPTIC AREA: <br />Phone: Date �r) a <br />Phone: Date <br />Phone Date <br />PERC 4EST RATE FORM <br />