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ou�N SAN ,TOAQUIN COUNTY <br /> �� mac• <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Iw �� <br /> E A• 304 East Weber Avenue,3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:WwW.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> 1 � <br /> ADDRESS OR LOCATION: d Q K r I a41Z- ) U Z? CITY: �g MCn 2� <br /> OWNER NAME: DATE: — <br /> APN: APPLICATION#: SR _c)0 3 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> i <br /> REMARKS: I <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> - <br /> I <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth. Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Role# I Test Hole#2 <br /> Parcel: Diameter. in Depth: a�in Diameter: in Depth-.— in <br /> � i - <br /> T[MEI READING WATER DROP REFILLED TYNE READING' WATER DROP REFILLED <br /> 35 �r 7 <br /> o s '7, 3,7 z u7 S, �, 3•, <br /> 1 2 u -2 3.3— <br /> f v 7. 3. 3 3,V <br /> 3, 1 Z 3 -7 !. S 7 • �, <br /> 2 a J <br /> 3, 3 Z f 'L v'] 'f. � � 3•� <br /> 5 ,L c0 t L 3 `� 17 <br /> PERCOLATION RATE: 10 min/in PERCOLATION RATE: of min/in <br /> RECOMMENDED SEPTIC A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Ll Phone: Date <br /> OBSERVED BY(RE ): Phone Date <br /> EM42-0-M Pe c T4s[ <br />