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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 />PERCOLATION TEST RATE <br />ADDRESS OR LOCA/TI/ON: �% 3 S] f-l��.Q /VD/�%�N %��Z�Tf �,= (it//S ✓ CITY: 0Gb <br />OWNERZ <br />/NAME: A L L -'F .FV' DATE: <br />APN: i/ S/ - 5 57 APPLICATION #: DEPTH TO FIRST WATER: 'L�� 0 Ft <br />SOILTYPE: SCF j2CP�%jT <br />REMARKS: <br />SOIL PROFILE (IF REQUIRED) <br />w�-P% I w11 yr I CJ I nvLCJ (SHUW WELLS AND STRUCTU <br />0-0 • •- �-• • •- 9-0 • •-�• •--• • •- <br />_ Test Hole # 1 <br />Parcel I Diameter: 4s in j Depth: O In <br />3ERCOLATION RATE: �a - S min/in <br />RECOMMENDED SEPTIC A REPO <br />PERFORMED BY: _ <br />f EST CERTIFIED BY: <br />DBSERVED BY (RENS): C, <br />:HD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: inj De the in <br />TIME READING WATER DROP REFILLED <br />I <br />PERCOLATION RATE: min/in <br />RECOMMENDED PEPTIC AREA: <br />Phone: — 02- Date �% a <br />Phone: Date <br />Phone Zgq Date ( i <br />PERC TEST RATE FORM <br />