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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4«FClRN` <br /> 1 / ^ <br /> PERCOLATION TEST RATE [� <br /> ADDRESS OR LOCATION: i I lD 1 1 I�C;ti ► )t G 1 p�� CITY: <br /> OWNER NAME: }-'h y '1_-1 k l V V/1 01 L I 1 C C DATE:ty1 <br /> APN: �j - ' 1 - �j APPLICATION#: �? CYC GS f DEPTH TO FIRST WATER: C/� Ft <br /> SOIL TYPE: <br /> REMARKS: 1 <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> -- $ FJ _.___ IT <br /> - --fIrl 6, <br /> n- ��I I FF-1 FrlFF <br /> L <br /> ' f <br /> J <br /> fi i >-T-i T-1 i ' <br /> I I I I <br /> F7Lif 1 -I T I <br /> SOIL PROFILE (IF REQUIRED) <br /> De th Soil Type Depth Soil Type De th Soil Type Depth Soil Type Depth Soil T pe <br /> F' Test Hole# 1Test Hole # 2 t <br /> Parcel: Diameter: in De th:..t; in Parcel: Diameter: in Depth. in <br /> TIME- READING WATER DROP REFILLEDTIME READINGWATER DROP REFILLED <br /> 1Z4 2 a • 53 5 S3 � . _�7__Z <br /> 0U 1 b S - <br /> 5 i, 12 <br /> 2vS O <br /> 2 3U Z 5 <br /> 0li550 1 <br /> Z' <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: it 1-4 I't , Phone: Y ,. --Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): ( Phone Date <br /> EHD 42-03 REV 11/2!09 PERTEST RATE FORM <br />