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Dt4 lr- 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 /> �/FORS\ <br /> , JPERCOLATION TEST RATE .�`/ <br /> ADDRESS OR LOCATION: 72 q G Sy""t-h m- ��:�1 POA(tel. CITY: /�' tom^-��� <br /> OWNER NAME: �fG.)i 5 I P A <br /> APN: I iv2- 01 D - 013 APPLICATION#: DEPTH TO FIRST WATER: <br /> SOIL TYPE: �eA"'!- T-G';�1-SLS\ '- Si I 'f9 f-10 <br /> REMARKS: TT <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> I ILLI �uIJ L <br /> pr (T <br /> -L Li -o F I -F-1 i _Fi T- �, r e�l�I 1 C_i I f 1 ( F1 I i -I <br /> 1; <br /> SOIL PROFILE IF REQUIRED <br /> _ <br /> j[DrepthKSoilTypeDth ,l <br /> il T e Depth Soil Type Depth Soil Type Depth Soil Type <br /> _ Test Hole # 1 _ Test Hole#2 <br /> Parcel:_1 D 0 I Diameter: 4 in I Depth: in Parcel: Diameter: in I De the n <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ( D 3, G O. & <br /> 3• a to Z <br /> id•. 0© <br /> 0 : 1,0 .Z n <br /> l 5, <br /> PERCOLATION RATE: Worl miniin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 4 Iti Phone: Date <br /> TEST CERTIFIED BY: LO Phone: Date <br /> OBSERVED BY(RENS): Phone 2-4; Date C 3• <br /> END 42-03 REV 1IM09 P, RC TEST RATE FORM <br />