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Q�,a�lty SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 40: ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ' +'+T 0I6"1Wk- CITY: <br /> ' OWNER NAME: A DATE: <br /> APN: APPLICATION#: P I 1041 DEPTH TO FIRST/WATER: Ft <br /> SOIL TYPE: <br /> ' REMARKS: <br /> LOCATION OF TEST-HOLES SHOW WELLS AND STRUCTURES) <br /> i i l I l l i <br /> ? : ; <br /> i- <br /> i <br /> -_ - <br /> : <br /> _ a - <br /> i <br /> a <br /> I <br /> a <br /> r <br /> EL F-F I' Ffl..... <br /> _ H <br /> i <br /> i <br /> ? i <br /> i <br /> r r�� <br /> a i <br /> ? a - <br /> _ <br /> — — <br /> I " <br /> -FT-T-1 I 1 <br /> yy jr I <br /> �l <br /> I i <br /> )_---c-=_�:---�—I�-- - _�--�•—' - - —i• ��t—i—�—i—E— —r—t--�i—r- - —j—fit—�- s I--- <br /> ' <br /> a <br /> ' SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 1 <br /> Test Hole# 1 Test Hole#2 <br /> ' Parcel: Diameter: F� in I Dept in Parcel: 1 Diameter: in De the f 2- in <br /> TIME READING WATER DROP REFILLED TIME �READING WATER DROP REFILLED <br /> 2. <br /> � fl � /� ':ems' '�, �� ,,�•� ' <br /> w 11:101 <br /> o� <br /> 01J <br /> ' o, <br /> PERCOLATION <br /> y <br /> PERCOLATION RATE: I min/in PERCOLATION RATE: ' min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: 12,E S <br /> ' TEST PERFORMED BY: Phone: Date I- <br /> TEST CERTIFIED B\ Phone: 11 Date <br /> OBSERVED BY(REH PhoneDate <br /> ' EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />