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411ry. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)46B-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �.Fko•' <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ,'_'}pD S, l�Y�'L3(�Qs� CITY: <br /> OWNER NAME: I1n r, levan �a� 1Ty.r DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: (/'Qi' Ft <br /> SOIL TYPE:REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> ` <br /> - <br /> ' ! -TTS I I !FTI--1171 <br /> SOIL PROFILE OF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hol # 1 Test Hole#2 <br /> Parcel: I Diameter: 1 in I Depth: in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> � 5 <br /> 135 <br /> 195 <br /> Z X05 ,Z <br /> PERCOLATION RATE: 71.Z min/in PERCOLATION RATE: 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): • S�^S,�7L�� Phone Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />