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oa4U'": 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 LOCATION: CITY: <br /> OWNER NAME: DATE: <br /> APN: APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> FF] FF Iff. <br /> ,....,. ...._.-..-,..,..:_ ;.---._5.......i :_._...:......... . :...... �-.....: <br /> t <br /> - _ K <br /> i F 1 I f - <br /> I i I Wf l 1-1 1 FF -i i T <br /> • <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth __§okType Depth Soil Type <br /> Test Hole#x3 -01 Test Hole # 2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in Depth: in <br /> TIME 'READING WATER DROP REFILLED �Q �I TIME READING WATER DROP REFILLED <br /> Lq _.._3� -.....,. <br /> 5 ►I - <br /> i, 2 <br /> .._ 50 <br /> I Il <br /> 1I 51! <br /> J��►- -_ - <br /> .� � Q 11 tl (} <br /> 1 qI�- 1Q3 A.._ �L_ ._ _,_..... <br /> PERCOLATION RATE: mintin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: A Phone: Date <br /> L <br /> OBSERVED BY (REHS): Phone ��6F �_ Date L Z� <br /> EHD 42-03 REV 1112109 35 P PERC TEST RATE FORM <br />