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' -AIN JOAQ UN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> < 1868 East Hazelton Avenue, Stockton, CA 95255-6232 <br /> Tedephoneo(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION* CITY: <br /> ' OWNER NAME: DATE: <br /> APN' APPLICATION#; DEPTH TO FIRST WATER: P? <br /> SOIL TYPE: <br /> ' REMARKS: - — <br /> LOCATION <br /> FI;- <br /> F-11 -t T R <br /> . -- — <br /> ......... <br /> a.— — .. <br /> _ <br /> _ <br /> i <br /> I' I <br /> i - <br /> : <br /> z i t <br /> , <br /> - <br /> - — - — - <br /> i <br /> SOIL PROFILE(IE REQUIRED) <br /> Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type <br /> 1 <br /> Test HOS# I Test Hda#2 <br /> Parcel: Diameter: inI Depth: in LPael: Diameter: in I Depth: Jnj <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> tEf C©PATI®�9 RATE. <br /> L <br /> minfin PERCOLATION RATE;. omuimu9im� <br /> REC®IifIIIPfIEN®CE® SEPTIC AREA, <br /> RECOMMENDED SEPTIC AREk 12,cwu S� <br /> ' TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY:' Phone: qqV Date <br /> / <br /> OBSERVED B`( (REHSVwy! <br /> Phoned ( Date = <br /> t iE� pERC TEST RATE FORM <br /> EHD 42-03 REV 1112109 <br />