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SAN U[JAQU|NCOUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />OOOEast Main Street, Stockton, CA95202'3O2S <br />/ 7elephone:(2U9)4S8'3420Fax:(2OS)4G4'0138Neb:vmww.sigov.org/ohd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: CITY: 2- <br />OWNER NAME: L 4 DATE: <br />� <br />xpw: APPucxnnwDEPTH roFIRST WATER: Ft <br />SOIL TYPE: LA <br />nsMAnnn: <br />uuL;A||uwUF |tm|nuLtZ:i (SHOW WELLS AND STRUCTURES) <br />MEN <br />ENENEE <br />No ENEEN <br />N NE MEN <br />=MEN <br />SOIL PROFILE (IF nruompm <br />rDep,,h Soil Type Depth Soil Type Depth Soil Type Depth Soil Type De th -Tsoil Type <br />Test Hole 4 '!5 Test Hole # 2 <br />Parcel: Diameter: in � Depth: 1 in F -Pa —rce I Diameter: 7_ in ] Depth: in <br />TIME <br />READING <br />WATER DROP REFILLED <br />If <br />1.0 <br />`ERCDLAT|ONRATE: min/in <br />ZECOK8N1ENDEDSEPTIC AREA: <br />EST PERFORMED BY: <br />'EST CERTIFIED BY: <br />)BSERVED BY (REHS): <br />_TuE READING WATER DROP I REFILLED <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />__ <br />Phone: Date <br />Phone: Date <br />Phone Date <br />min/in <br />PERC TEST RATE FGRrA <br />