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oPa"-'N 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.sjgov.org/ehd <br /> �4�JFORN`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: <br /> OWNER NAME: DATE: <br /> APN: APPLICATION DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE ---- <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> F TFri <br /> i <br /> I rr, M 1 <br /> 1AArt iail— 4r 1-4 cklq� 1�4*- <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth j Soil Type Depth Soil T e _ _Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test H le # 1 Test Hole # 2 _ <br /> Parcel: Diameter: in Depth: n Parcel: Diameter: in Dtipthe n <br /> TIME READING t WATER ROP_ REFILLEDZ TIME R ING WATER DROP REFILLED <br /> 6 !/ <br /> -7 <br /> r�j V �J• <br /> 3 .75 <br /> 17 l7S- D� . zt <br /> : ro ,O _ <br /> PERCOLATION RATE: S,�T min/in PERCOLATION RATE: j min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS). Phone r Date <br /> EHO 42-03 REV 11 2'09 /w— <br /> PERC TEST RATE FORM <br />