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1 nom. VP%(m JVAWUIIY VVUI141 T <br /> — <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)4640138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION' '�ti <br /> LL � � crTY: <br /> OWNER NAME:/lf1lN� . " <br /> APN: / G' APPLICATION•: P( —!I 7"i DEPTH TO FIRST WATER: '^ Ft <br /> OMTVPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> #1 - <br /> itiT_ I' <br /> M <br /> L 1 <br /> I 1 _ - <br /> i ( I I _ I I I TIP J. Iff FP E _ ii <br /> I FF Il " <br /> HJ_ Hd <br /> FF <br /> SOIL PROFILE IP RE4u1RED <br /> Depth Soil Type Soil Type Depth Soil Type Depth Soil T Depth Soll T <br /> Test Hole* 1 Test Hole#2 <br /> Parcel: I Diameter: In in I Parcel: Diameter: in I De the in <br /> TINE REWMM WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> r q _ <br /> ci! <br /> `� d'CI 0 <br /> .. r 4 v _ q <br /> G <br /> _ <br /> 3 4. <br /> �, 25q. WWI 2 Z5 :E <br /> t 11 Zz7 <br /> / <br /> U0 l . o <br /> _'ERCOLATION RATE: miNln PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: l Phone: Date I 14--12 <br /> _TEST CERTIFIED BY: Phone: Date // Z <br /> OBSERVED BY(RENS): Date <br /> HD 42-03 REV 11/2= PEIWTEFT RATE FORM <br />