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SAN JOAQUIN COUNTY �� Z <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> i� 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: 3g Z3S CITY. <br /> OWNER NAME: DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> _ LOCATION OF TEST HOLES(SHOW WELLS AND sTRucruREs) <br /> I <br /> I i <br /> ' i I <br /> I I I { I <br /> I <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil T e Depth Soil T e De th Soil Type Depth Soil Type Depth Soil T e <br /> e mal <br /> Test Hole# Test Hole#2 <br /> Parcel: Diameter: /Z-- in De th: 5inParcel: Diameter: in De th: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFlLLED <br /> U <br /> c <br /> 5Z r u ! u <br /> ::o Z Z S <br /> PERCOLATION RATE: l 0 minlin PERCOLATION RATE: minlin <br /> _ RECOMMENDED SEPTIC AREA: bE54A: 6,- A E_- RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 2 0� N 27 76 J Date <br /> TEST CERTIFIED BY: �-DIAII_�14'./14A IJS Phone: -5 /� > �3' Date i <br /> _ OBSERVED BY (RENS): Phone Date z <br /> EHD 42-03 i 1 <br /> 719104 1.1�:.�� _ i, ` P RC TEST RATE FORM <br />