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�auln SAN JOAQUIN COUNTY ' <br /> —,Ft ' 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 /> 4��R� ` }yPERCOLATION TEST RATE , <br /> ADDRESSOR LOCATION: �- ' `��'\�SO� CITY: LzC��_fI 1 <br /> OWNERNAME: IPf L-i P.in" �1n�0.`,� n� d_ C-Qe'taP C� DATE: -I 1-1 <br /> APN: 0GS-A t- APPLICATION#. DEPTH TO FIRST WATER: "' f'o_LO Ft ' <br /> SOIL TYPE: I <br /> REMARKS: ' <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> a - <br /> SOIL PROFILE OF REQUIRED <br /> Depth Soil Type Depth Soil Type De th Soil Type Depth Soil Type Depth Soil Type <br /> O - r•� , <br /> M <br /> Test Hole#1Test Hole#2 ' <br /> Parcel: I Diameter: in I Depth: in Parcel: Diameter: in De the in <br /> u <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 6 b , <br /> A V <br /> l4 1 aI f <br /> ; 3a <br /> A.µ <br /> i <br /> ?AIPERCOLATION RATE: -7 11 minlin PERCOLATION RATE 9, Ab- n minlin'3, ' <br /> s� <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: ' <br /> TEST PERFORMED BY: I Phone: q=l70 (0.1�1I9=l_70- O-1�I Date I <br /> TEST CERTIFIED BY: . Phone:Zcy �i Date / <br /> OBSERVED BY(REHS): Phone Date ' <br /> EHD42-D3REV11/2M2 PE C TE FORM <br />