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oA`;ulN o SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />N: �I <br />> 1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />l Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />4�1FOR�`P <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION:-. <br />OWNER NAME: <br />APN: _OVI - (`j(APPLICATION : <br />SOIL TYPE: <br />REMARKS: <br />I /lY`ATIA•1------ ..—. —_ <br />1•�e�r �cNt ci <br />CITY <br />DEPTH TO FIRST WATER: Ft <br />L.kwj I' i1 FAVIa IN i11J!77a1l1E731v <br />Depth _ Soil Type _-Depth _ Soil Tyype _ Depth Soil Type _ Depth Soil Type <br />Test Hoie #'ikar-c�l: f Diameter: I in Depth: in <br />TIME <br />READING <br />I WATER DROP I REFILI.ED <br />.C4 <br />GC <br />II <br />o:': <br />PERCOLATION RATE: �tJ min/in <br />RECOMMENDED SEPTIC AREA: _ <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: (r <br />OBSERVED BY (RENS): <br />F:1111 42 03 REV 11'2 0C, <br />— Depth _ Soil T r <br />Test_ Ho_ le # 2 <br />Parcel: Diameter: in I Depth: in <br />TIME 7 --READING WATERDROP REFILLED <br />I <br />i I <br />r'CKwLA I IUN RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: _ : ;'y ';`l'C t -, Date /0- I" "C2/ <br />Phone: Date <br />Phone •'" ,%�' '� �! N - Date 4� - is • <br />Pali,: 1 FS 1 ItA'1 L F0:0.1 <br />