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aqua SAN JOAQUIN COUNTY <br /> z 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: CDot Wleo� Lyl AT N,--- W 5 RJ 4,P CITY: �, 5'u c( CA rn E 2sr31 <br /> OWNER NAME: DATE: LAgC!-i 2_,zi 2,oy26' <br /> APN: f la b— I APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: i% RjE_rofz� <br /> REMARKS: PRE rJ0 g— <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> r _.j <br /> F-F <br /> 1 I 1 I I I I 1 1 I '_1 I I �-_ <br /> v _ <br /> i I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil T pe_ Depth Soil Type <br /> Test Hole# 1 Test Hole#2 _ <br /> Parcel: Diameter: in Depth: 3 in Parcel: Diameter: in Depth: Z in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> oO — <br /> 3, 1 � ; 0 3� � _- <br /> 6'!5- la' 3. 0 2� Z , S4 3, <br /> 3 Igo" 3 /o' <br /> p: 3 p . o y" ,t3 - <br /> I <br /> PERCOLATION RATE: 3 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC EA: t RECOMMENDED PEPTIC AREA: or <br /> TEST PERFORMED BY: Phone: , Date 3 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FORM <br />