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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.sjgov.org/ehd <br /> ' `'FORS PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: <br /> OWNER NAME: -DATE: <br /> 3 2- APPLICATION P,"; <br /> APN:—0 i % M DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> ' I I € s <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> —4-1 <br /> ...... ....... <br /> FL <br /> FF <br /> L ....... ...... <br /> T-7 <br /> r <br /> -77-71. .1 -17-..-..= <br /> 7"71 1 1 <br /> -T <br /> LE-F-1-7-T-1 T-11-1 IFT I I I1 lJ I I I I Ti I I I I I I I I <br /> t-1- -41-1 <br /> 17-1 rMF <br /> T <br /> F <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type _ Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# I Test Hole#2 <br /> ' Parcel: Dia in I Depth: 't2— in [Parcel: 3 Diameter: SW in I Depth: :n <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> V <br /> 2 -L7- <br /> 2-, <br /> Of_7 �,'1*7 <br /> Z y14 <br /> -97 <br /> lit 7u� <br /> 7 0 <br /> 07 <br /> T'- <br /> PERCOLATION RATE: ruin/in PERCOLATION RATE:— min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: d Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): `' Phone Date vJ <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 11/2/09 4 <br />