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ASU►. 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.orglohd <br />�1,nonN PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: / / - f`� __���_!~� _"f� __ CITY: a/�• / <br />OWNER NAME: - �_ 6_ X4 do�?_—_--__..--•._..._DATE: <br />APN: APPLICATION #: — �/Y I b UU �I ---- DEPTH TO FIRST WATER: -- •----- • Ft <br />SOIL TYPE: <br />REMARKS: <br />1 nCATInAI nc'rccT ur%1 Co ...... ....... --•--_---___-_ --- <br />SOIL PROFILE (IF RM imm <br />Depth Soil Type _Depth Soil Type Depth Soil Type Depth Sol) Type Depth Soil Type <br />Test Hole # 5 <br />Parcel: Diameter: 7 in I De <br />TIME. <br />T <br />I EADINU <br />WATF14 DROP <br />Plan .I.I:r) <br />1.. 3 <br />OBSERVED BY (REI -IS): <br />1_1 ID 42 03 RI V 11/2/09 <br />I <br />e <br />IfO <br />U+ l <br />�_�IA <br />I I__ <br />L. I <br />I_7_1 <br />f _1 <br />. l <br />f -F'] <br />0 <br />I <br />LI. <br />. I T <br />L.. <br />_I_ <br />.1. <br />I- <br />__ <br />.._. <br />L <br />r.�I <br />.1 r f 1.] <br />f <br />I- <br />f. <br />I. <br />1 <br />SOIL PROFILE (IF RM imm <br />Depth Soil Type _Depth Soil Type Depth Soil Type Depth Sol) Type Depth Soil Type <br />Test Hole # 5 <br />Parcel: Diameter: 7 in I De <br />TIME. <br />T <br />I EADINU <br />WATF14 DROP <br />Plan .I.I:r) <br />1.. 3 <br />OBSERVED BY (REI -IS): <br />1_1 ID 42 03 RI V 11/2/09 <br />I <br />e <br />IfO <br />U+ l <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REI -IS): <br />1_1 ID 42 03 RI V 11/2/09 <br />Test Hole # 2 <br />m <br />Parcel: Diaeter: in I De the in <br />Th+AI RI ADING W/vrut ]ROP tilil'ILLGU <br />PERCOLATION RATE: _ mintin <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date_.r <br />Phono:_ <br />_ Date , . <br />'c.. <br />PI iRC '1 I :S 1' RA I 1 i FORM <br />