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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t, 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: �r1t�i`,�, (�= C i CITY: /" <br /> OWNER NAME: r 1, _ r�.• `. ���. r r DATE: !r' <br /> APN: r '�` 1 �) APPLICATION#: : , v ✓. ".J !I' DEPTH TO FIRST WATER: r ct—I.' Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> , <br /> F1 FUH irfl 1 .1 <br /> 1 I FE <br /> t i <br /> F_ <br /> i i <br /> SOIL PROFILE(IF REQUIRED)UIRED <br /> ) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1Test Hole#2 <br /> Parcel: Diameter: in I Depth: in I Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0 4 <br /> _11 (0 <br /> PERCOLATION RATE: 3 - a minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: a0 ; Date 1 i ,' <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date -3 �1 0 <br /> EHD 42-03 PERC TEST RATE FORM <br /> 719104 <br />