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�t,�i 1h: SAN JOAQUIN COUNTY <br /> x �.E�.. <br /> �"- FNVIRONNIENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-5232 <br /> t Telephone:(2.09)468-3420 Fax: (209)464-0138 Web:a w.,.stgoV.crglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: r� v W 0. + CITY: <br /> OWNERNAME: 'T'�IJ,t\n-t s� uV• Z _ {_� _ DATE: 11 ( � <br /> APN: r� `' U d--� APPLICATION k ��� dd I -) i DEPTH TO FIRST WATER:_C F <br /> SOIL TYPE. /�/Y►- <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURE5 <br /> 1 <br /> I <br /> j <br /> t <br /> I <br /> -- t4l �" <br /> - <br /> IT <br /> I Z I <br /> P4. -4 I t ;._I , <br /> - �- I If - - <br /> SOIL PROFILE IIF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depjh Soil Type Depth Soil Type <br /> Test Hole # 1 Test Hole#2 <br /> Parcel Diameter I in De th-'�kl in Parcel: Diameter: in Fbiph: in <br /> T IrE I RF-AD`;i: S';nTrr Drcp REFILLED TIE READWO I WATER DROP REFILLEC <br /> � V <br /> • 6v .-L- <br /> � l <br /> `�,— <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTICAREA: RFCOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: t' sl� ; Phone: ,-U` Ie2—is Date <br /> TEST CERTIFIED BY: <br /> �— Phone. Date <br /> OBSERVED BY (REHS): ��GCUt,'L Pho 1e _ Date ° �'' �^r —— <br /> END 42-03 REV 1I ZM9 PERC TEST RATE FORM <br />