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SAN 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: CITY: <br />OWNER NAME: 0 <br />X DATE: <br />APN: APPLICATION #: PA - Z 2- DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />nv1-50,(bHUYV WELLS AND STRUCTURES) <br />LII(III F FT -1 Fn' <br />V: I: T] Fh F[ M I ITIM 11-11 I 1I 1 FH l <br />f_- <br />F"H <br />1-11F� F- <br />I 7H, T <br />. 711-11 <br />1' 1 it <br />OUIL rKL)I-IL (IF REQUIRED) <br />---Peplh_ _Soil Type Depth Soil Type Depth Soil Type De th Soil Type Depth - Soil Type <br />[ Test Hole # I <br />Parcel: I <br />j Diameter: /-7 inL Depth: 3 in <br />_ <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />2 <br />c 11 <br />2 9� <br />3 <br />2, <br />3 <br />3 <br />o5 <br />2 <br />J <br />PERCOLATION RATE: )'0 min/in <br />RECOMMENDED SEPTIC AREA: 17,100o <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS)i <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />F—arcei. z-- I Diameter: - in I Depth: in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />3 <br />rr-ML,ULA I IUN KATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />