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412 <br />03 <br />c � <br />m• <br />ADDRESS OR LOCATION: <br />n <br />OWNER NAME: <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www•sigov.org/ehd <br />PERCOLATION TEST RATE <br />CITY: <br />DATE: <br />DEPTH TO FIRST WATER: Ft <br />LOCATI N OF TEST HOLES SHOW WELLS ANu s rcva. <br />4 <br />, , i . , 1, 1 i ; <br />-, -=- <br />Fla _U <br />1-1 F-1-1 1— —1 1— / <br />SOIL PROFILE IF REQUIRED <br />Depth Soil T e De th Soil T e De th Soil Type Depth Soil T e De th Soil <br />Test Hole # 2 <br />Tes le # I _ - _ <br />ir <br />i� <br />WATER DROP - <br />• / <br />minlin <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC EA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS). <br />EHD 42-03 REV t 1WO <br />PERCOLATION RATE: <br />RECOMMEN,DED SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Phone �� Date �a <br />PERC TEST <br />