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a�IN 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 /> A 7_14ADDRESS OR LOCATION: 2�6 r� ^� � t -DATE. <br /> OWNER NAME: <br /> DEPTH TO FIRST WATER: �S Ft <br /> APN: APPLICATION <br /> SOIL TYPE: r! <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELL`AND STRUCTURES <br /> _._... <br /> ............. ........ .......... <br /> .......... <br /> i <br /> - <br /> .,� , <br /> i <br /> r-- <br /> 1•' _ <br /> p. S <br /> SOIL PROFILE IF REQUIRED) <br /> Depth I Soil Type Depth Sail Type Depth Soil Type De th Sodom De th Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter. o in , De th: Y in Parcel: Diameter: in ! the in <br /> TIME READING WATER DROP REFILLED -TIME READING WATER DROP REFILLED <br /> i <br /> — <br /> PERCOLATION RATE: 3o minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: aegt ALA� Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS)-. t r '�` Phone Date <br /> EHO 42-03 REV 1112109 PERC TEST RATE FORM <br />