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ti SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: L4 a'., i v CITY: Tr i <br /> OWNER NAME: `t� w DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: �- er <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> AVi <br /> i <br /> L_jj <br /> .-.) _.. <br /> - <br /> 1 <br /> • <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I De the in Parcel: Diameter: —1 n De the in <br /> I <br /> TIME READING WATER DROP REFILLE TIME READING WATER DROP REFILLED <br /> - <br /> • Zcta ,go a <br /> 2-z <br /> 'co <br /> PERCOLATION RATE: <br /> min/in PERCOLATION RATE: mintin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: L Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS): J Phone �? —7`18 Date AR2CTEYST <br /> RATE FORM <br /> EHD 42-03 <br /> 719104 <br />