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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .y <br /> e: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> %FORS PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 7 wV K.'Y1!011'1 "'`I CITY: 1(e-c4\� <br /> OWNER NAME:- I`m/ n TU�1 C yo,._ cl / DATE: ,� ) 7-t <br /> APN: o Yo J l APPLICATION#: S UCS 7 b DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> Ai i <br /> I I ? s rI L <br /> Ro it <br /> i - 1 � 1 } I • a _ <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel: Diameter: in Depth:' in Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 54/ <br /> PERCOLATION RATE: C ' 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 . Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />