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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.sigov-org/ehd <br /> /// PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �J '.1 H� CRY: <br /> OWNER NAME: ,y _DATE: - <br /> APN: ^- LY <br /> 2- <br /> Frte APPLICATION III: If�'�(7 7 DEPTH TO FIRST WATER: Ft <br /> -.. SOIL TYPE: <br /> c <br /> REMARKS: <br /> LOCATION OF TEST HOLES Is iow WELLS AND STRUCTURES <br /> I rn, -r-1 <br /> i .._ —i — <br /> T, H-1 <br /> i — - - FR—�_I <br /> �— <br /> (t— <br /> i --T_ I <br /> -_- -- 19 id F _ <br /> ' I <br /> 114- <br /> t LL—IU-] <br /> I I I 7 i I I <br /> I ( �I I I I I I I —';�—t-- -k--�-- '-- F- <br /> - - <br /> SOIL PROFILE IF REQUIRED <br /> Depth I Soil TvDe I De th I Soil T e th I Soil Type I De th I Soil T De th I Soil T <br /> - Test Hole# 1Test Hole#2 <br /> Parcel: I Diameter: in I Depth: in Parcel: Diameter: in I Depth: 0 in <br /> �. TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 70 <br /> U'.4G 5, 75 Zai ' v <br /> .,UO <br /> y /, _ <br /> I <br /> Z5 " 2 •Z5'' ZS <br /> I .So <br /> PERCOLATION RATE: f min/in PERCOLATION RATE: miMn <br /> - RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date l�r <br /> TEST CERTIFIED BY: - Phone: / ' Date I T- 9// Z <br /> OBSERVED BY(REHS): /•,� `moa„ Phone Date <br /> EHD 42-03 REV 11f2/09 P TEST RATE FORM <br />