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,Qr4"I''f.� SAN JOAQUIN COUNTY <br /> 1 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: r <br /> - CITY: _ <br /> OWNER NAME: <br /> APN' _-- APPLICATION A: �/; �V�? v - — <br /> 1 - DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> { I <br /> I , r T <br /> i C <br /> 4�, 9JA- 4- q-ar- <br /> I r <br /> c /j � <br /> SOIL PROFILE IF REOUIR®11 <br /> Depth Soil T Depth Soil Type Depth Soil T Depth Soil Type Depth Soil T <br /> -- -- <br /> _ Test kiple# 1 __ Test_ Hole #2 <br /> Parcel. ! Diameter: in De the n Parcel. Diameter: in j De the <br /> TIME READING WATER DROP REFILLED TwE R IN!� WATER DROP Ri.F,I I Fn <br /> LIZ <br /> ..rte , •�I�` ? C v + 1 ' 1 7 L S <br /> `♦ _ <br /> PERCOLATION RATE: S'„ w-r—minlin PERCOLATION RATE: 1000,minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone Date <br /> TEST CERTIFIED BY: _- Phone Date <br /> OBSERVED BY(RENS) - Phone L4 Date � � <br /> EMO 42-03 REV f 1 2'09 Tq/ PERI TEST RATE FORM <br />