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pQ��N SAN JOAQUIN COUNTY <br /> �o. E.co ENVIRONMENTAL HEALTH DEPARTMENT <br /> N X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> CqC%F OR�`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: = <br /> OWNER NAME: DATE: <br /> APN: APPLICATION M. DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> ' REMARKS: <br /> ' . LOCATION F $TLE$(SHOW WELLS AND STRUCTURES) <br /> r <br /> _�__4.—;--- ;._ -�;_.__.a ;—t. moi_._ — —��._ � _.i . L—I.5 <br /> i - <br /> �i. <br /> : <br /> i 1 <br /> _—_i—s—_.._:.._._� <br /> ; <br /> ! i • <br /> , E <br /> , <br /> • I I_ <br /> ......_.I�9"'"T <br /> pylp�•_- -- — - --- — <br /> : <br /> 2 <br /> - r i <br /> S <br /> i <br /> , = i <br /> i <br /> r <br /> i <br /> "a <br /> I 3 <br /> ! <br /> 1 <br /> 1-Y ._ lam.- I J.� <br /> I F �M -I J7-� I 1 .1 F ._�I i J . I I_.._.I I iI S � <br /> _ I �.-�� �- <br /> ! <br /> 1 • -��— ! <br /> r <br /> r <br /> ' SaL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# ' Test Hole#2 <br /> ' Parcel: i Diameter: in Depth: in I Parcel Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> A <br /> a �'vl <br /> ' (PERCOLATION RATE: !1 rein/in PERCOLATION RATE: orraWin <br /> RECOMMENDED SEPTIC AREA: 110W T RECOMMENDED SEPTIC AREA: <br /> ' TEST PERFORMED BY: �1 t Phone: Date <br /> TEST CERTIFIED By:-'--'-'a } �� ;�� Phone: Date <br /> OBSERVED BY(RENS : Phone j�' �' � �+ Date <br /> ' EHD 42-03 REV 11/2/09 f ! PERC TEST RATE FORM <br /> x� <br />