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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.sigov.org/ehd <br /> ` <br /> PERCOLATION T�E•-ST RATE <br /> ADDRESS OR I OCAT�ION: LI CRy; rzt (-- <br /> OWNER NAME: _DATE: <br /> APN: X y V - tr APPLICATION M J DEPTH TO FIRST WATER _ - F <br /> SOIL TYPE <br /> REMARKS �— <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) _ <br /> Fl---I <br /> { <br /> I ) ; 77 I <br /> F-1 I T I i �_I i <br /> I I <br /> SOIL PROFILE tIFREQUIRED) <br /> De th Soil TYpe Depth Soil Type Depth 1 Soil Type Depth Soil Type De th Soil Type <br /> i <br /> Test Homme# 1 Test__Hole#2 <br /> Parcel Diameter L in De th:j - r in Parcel. Diameter: in Depth—: in <br /> Twa READING WATER DROP REFILL._ T,P& READING WATER DROP REFILLED <br /> -% _ Jl� <br /> ig O t _ <br /> �O I • D <br /> -6t ."�_ <br /> T_ 11% <br /> • • I 0 / .. ... -. <br /> PERCOLATION RATE: —70 . PERCOLATION RATE: fnft4n <br /> RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: _ <br /> TES- PERFORMED BY: ;,, .<z ,.,}:� Phone. 1513_]� Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): 1,t;-,&g Y-4_"c-Lr Phone Date 213 1—2_c- _ <br /> EHD 42-03 REV 1112M 1`E0C TEST RATE FORM <br />