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(n. 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: W D . CITY: _ / 2 1s-�d <br />OWNER NAME: wljir', owy t'vOpi' i�" t% '""42k �G �4 N DATE: <br />r <br />APN: APPLICATION #: DEPTH TO FIRST WATER: '' ` 9d Ft <br />SOIL TYPE: <br />REMARKS: ''r,•( -f"J r r U. ` <br />w�-M I rury ur I is I MULhb (SHOW WELLS AND <br />JUIL t-KUI-ILE IF REQUIRED <br />_ _ Test Hole # 1 <br />rcel: _ <br />Pa3 Diameter: in�Depth: /�- in <br />TIME <br />READING <br />WATER DROP REFILLED <br />PERCOLATION RATE: /.Z min/in <br />RECOMMENDED SEPTIC p <br />f EST PERFORMED BY: p� <br />FEST CERTIFIED BY: <br />DBSERVED BY (REHS): <br />:HO 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: in <br />_ TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: <br />min/in <br />RECOMMENDED/SEPTIC AREA: <br />Phone: 2 -v _ Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />