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Yq�t � ,r SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 ; 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 1' Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: '. / ,M-r ,► f I_? G7 R <br /> - CrtY: <br /> OWNER NAME, DATE: <br /> APN: �.., APPUCATION f. r' <br /> DEPTH TO FIRST WATER: <br /> SOIL TYPE 7 �� <br /> REMARKS: - <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> �Pr� fc�•.� � Ll �G'1 -�e �•+� � �•�'J�i" �'` I it�J� rH•.� <br /> SOIL PROFILE IF REQUIRED <br /> De th + $oil Type Depth Soil_Type_ De th Soil T pe Depth Soil Type Qepth l Soil Type <br /> -- - — <br /> -T- <br /> Test <br /> T Test Role#1 j Test_Hole #2 <br /> Parcel: I Diameter in i De the N--]in Diameter: in De the n <br /> TIME { REAawr, WATER <br /> DROP REFu mi I IME REALoNG WATER DROP REFiLLED <br /> (� <br /> 475 2�r11 7S c O 7`-.57.1 7 ?c- •" <br /> 17 <br /> • 10 /' 7r <br /> � � �7•_s�7 f C7 <br /> i <br /> PERCOLATION RATE: 7, <br /> minlln PERCOLATION RATE: 10 C) 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_ 9 ? Date ��� <br /> EHD 42-03 REV 1 12 09 <br /> PERC iE8T RATE FORM <br />