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�o SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ��- <br /> `1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c J P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /(-}G` /�-C- CITY: -lam i 7' <br /> OWNER NAME: DATE- / <br /> i <br /> APN: ) / J - <� �E, - APPLICATION#: "� %�� 3 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: S/`C/�l ,�to <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 0 <br /> F7__ <br /> i , <br /> I <br /> i <br /> _ m -�-i r-�---� <br /> I <br /> F] T-11 <br /> I <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type <br /> _ Test Hole# 1 B Test Hole_ #_ _2 <br /> Parcel: ! Diameter: in De the jr{ Parcel: Diameter: inDe the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> /lJ _ U <br /> /' <br /> Z t 4 o a- <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ���,,�7�..L..i?� c%L c �.lc- Phone( �)�� -fSC Datei <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): t��Z Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />