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SAN JOAQUIN COUNTY <br />.co <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 />�4�iFoaN\P <br />PERCOLATION TEST RATE <br />ADDRESS OR L <br />OWNER NAME: <br />APN: L' f <br />SOIL TYPE: d <br />REMARKS:P <br />1 nCOTInN nF TEST HnLFR i.gwnw wFLI_S ANn STRl1CTURFRl <br />�rr11W te_ <br />j q <br />f <br />i <br />i <br />-- <br />I_ I _LJ <br />TEST CERTIFIED BY: <br />IT <br />, <br />:. I I <br />r� <br />_ <br />i_ -I i; <br />_ <br />i i 1 <br />r-� I-ri j- i- I-1 1-i-1 C_->-I-rm <br />i --iii r. r -i ---i r i - <br />Snll PRnFII F tip aGnl IIRFm <br />�-• • M • • <br />WIN= <br />/ <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):_- <br />EHD 42-03 REV 11009 <br />Test Hoe # 1 Test Hole # 2 <br />Parcel: Diameter: in I Depth: in Parcel: Diameter: in I Depth: in <br />PERCOLATION RATE: <br />WATER D••. REFILLED <br />RECOMMENDED SEPTIC Af EA: <br />TEST PERFORMED BY: RI'IiC wI!,t % <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):_- <br />EHD 42-03 REV 11009 <br />r� <br />PERCOLATION RATE: <br />1 �� / �S minlin <br />RECOMMENDED SEPTIC Af EA: <br />TEST PERFORMED BY: RI'IiC wI!,t % <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):_- <br />EHD 42-03 REV 11009 <br />r� <br />TIME <br />t <br />PERCOLATION RATE: min/in <br />RECOMjIIIENDED SEPTIC AREA: <br />Phone �1' j�7 ' l zwl.') Date t <br />Phone: Date <br />Phone 20q 61� 304k Date <br />PERC TEST RATE FORM <br />