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160- ,' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fan:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ' t #,-%40Lq F. FimTy: c4c*OM1 <br /> OWNER NAME: l u�TLS -- G a'y f_'_ TE:— 1b <br /> /y <br /> APN: -_- �/ �� 1 O - �� APPLICATION#: 'SRO *DEPTH TO FIRST WATER: " ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> • <br /> ,7ri <br /> +1 <br /> j ! { <br /> { <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth ' Soil Tye ----Depth I Soil Type Depth Soil Ty a Depth Soil Type _ Depth Soil Type <br /> Test Hole # 1 Test Hole #2 <br /> Parcel: Diameter: in I Depth: in Parcel: Diameter in De 7 in <br /> TIME READING _WATER DROP —REFILLED TIME _ READING WATER DROP REFIu.ED <br /> 40 <br /> 41• . <br /> - - <br /> ' - -&1 _ - <br /> Io: to - - <br /> ��_ _rte Q <br /> ____ <br /> t . a --.�. ---- <br /> --I It -VA-07 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: <br /> Date <br /> TEST CERTIFIED BY: _ Phone: Date <br /> OBSERVED BY(REHS): Phone <br /> _ — __-...__ Date <br /> EHC 42-03 REV 11!2/0 <br /> PERC TEST RATE FORM <br />