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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />". <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />9��FOR� <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: ~' (l r ° 7 L Com: <br />OWNER NAME: v DATE: / u <br />APN: APPLICATION #: 0 i DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: r� <br />REMARKS: <br />LU%,#% I IUIY Ur I is I MULtb (SHOW WELLS AND STRUCTURES <br />I T�- T1 I 11-P FTFF Fpj rr, Fj� I <br />CA "r. q; <br />,UIL PKUI- Lt (IF REQUIRED) <br />Depth Soil Type- _.Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />Test H le # 1 <br />Parcel. Diameter: in De the �n <br />PERCOLATION RATE: - -5• -�• S,71--min/i1 <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: _ <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11 2 09 <br />Test Hole # 2 <br />Parcel: Diameter: in De the <br />TIME i READING <br />j • L; v G <br />O / <br />WATER DROP REFILLED <br />J <br />PERCOLATION RATE: /� III,`�/ 10 0 min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: Date �f <br />Phone Date `T <br />PERC TEST RATE FORM <br />