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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.sjgov.org/ehd <br /> Coq,�..:•;;p <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: E Llg�l T{Qp r1�p tJ. Low zS e� J� R CITY: GP'L_-t- <br /> OWNER NAME: F� DATE: 'j '-��'� 'w <br /> APN: WS7_ Cp3 p -O-I OoV 020-02-APPLICATION#:_P � O'}000—I4 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i <br /> � � <br /> jj <br /> — <br /> I 171 <br /> o <br /> a <br /> F— <br /> IF <br /> SOIL PROFILE(IF REQUIRED) <br /> —Depth Soil T e Depth Soil T pe Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: /1 Diameter: 6 in Depth:__Lin Parcel: 12- Diameter: - in Depth. V� in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> OGi <br /> .07 yo <br /> Z. //;/J 3 •° ,Ow 2.k� <br /> r <br /> PERCOLATION RATE: min/in PERCOLATION RATE: ii /i min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: umr) l,ll l_. ; Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): Phone Date <br /> EHD 42-03 REV 1112/09 <br /> PERC TEST RATE FORM <br />