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�oP40 <br />ly•c 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.sigov.org/ehd <br />P <br />\1FpR�/ <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: l -7:-.-% SO t,y <br />CITY: <br />OWNER NAME:�r^�'' / !.!7Y J 6 <br />APN: C, 3 / ^ J �i ; DATE: <br />APPLICATION #: nA� DEPTH TO FIRST WATER: ." <br />SOIL TYPE: -- — Ft <br />REMARKS: — - <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />SOIL PROFILE (IF REQUIRED) <br />_De th Soil TykeI Depth Soil <br />Test Hole # 1 <br />Parcel: ) Diameter: / -2 in I De the in <br />TIME READING <br />WATER DROP <br />REFILLED <br />I REFILLED <br />P 31 <br />I gv <br />2•� <br />os— <br />3' <br />}� 3 <br />o5 <br />2 <br />JT 7j I <br />2 oCl <br />o C <br />PERCOLATION RATE: -).0 min/in <br />RECOMMENDED SEPTIC AREA: dou <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS) <br />EHD 42-03 REV 11/2/09 <br />Soil Type I Depth I Soil <br />Test Hole # 2 <br />Parcel: z I Diameter: 2- in Depth: in <br />TIME <br />READING <br />WATER DROP <br />I REFILLED <br />P 31 <br />I gv <br />3' <br />JT 7j I <br />2 oCl <br />o C <br />PERCOLATION RATE: rri) min/in <br />RECOMMENDED SEPTIC AREA: �.; dv <br />Phone: f Date <br />Phone: Date <br />Phone t: ' Date <br />PERC TEST RATE FORM <br />