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'O A{aUlly eek® SAN i® COUNTY ( o f <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138Web: .sjgov.org/ehd <br />PERCOLATION T RATE <br />ADDRESS OR LOCATION; ' CITY: <br />OWNER NAME: DATE: <br />APN: -- APPLICATION : DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: ,A <br />REMARKS: <br />r%E:t.v U U bt:P 1 IG ARF -A: <br />TEST PERFORMED BY: m m5f i <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS) <br />EHD 42-03 REV 11/2/09 <br />r jr•e.a A 1 yte i <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date 'k-7 U1 <br />Phone: Date <br />Phone Date l- — -- <br />FERC TEST RATE FORM <br />