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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />? 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�• • •1� Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sigov.org/ehd <br />-°- PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: -4,;74 1 -' `f CITY: /TD r_4zq" i <br />OWNER NAME: r ` �` 00A +JDL Z DATE: /�✓� / 1!11 �. ;7 42 <br />APN: 1907— �9fJ -lo `"r APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS <br />LOCATION OF TEST HOLES (SHOW WELLS ANU s 1 KUI: I U <br />SOIL PROFILE (IF REQUIRED) <br />DeDth I Soil Tvpe I Depth Soil T <br />Test Hole # 1 <br />Parcel: Diameter. Sin 1 Depth: g in <br />TIME <br />READING <br />WATER DROP REFILLED <br />.,.Z <br />_ `.._._/..[? <br />.... ................. <br />_-.. _ .77_._ <br />..- <br />._4.'t." _......_3.41 _.. <br />:�....�5 <br />,/Q__ �S. - <br />� .. /...... ..__. <br />7..:._ . .............. .................... <br />PERCOLATION RATE: of 7 minim <br />RECOMMENDED SEPTIC EA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Soil Tvpe I Depth Soi�pe De th I Soil <br />Test Hole # 2 <br />......_ ...._.._ <br />- _...------- ------ .......-----....-- _.._ ... ,....- .- -- <br />Parc..el: T Diameter: in 1 Depth: in <br />TIME <br />READING <br />-WATER DROP_ REFILLED <br />PERCOLATION RATE: minim <br />RECOMMENDED SEPTIC AREA: <br />Phone:Date S" 3 <br />Phone: Date <br />Date �`3 , �_ ti <br />PERC TEST RATE FORM <br />Phone 2njI (o(y, `5-9_31- <br />