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SAN JOAQUIN COUNTY <br /> dr <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/ohd <br /> 1� W7 PERCOLATION TEST RATE <br /> ADDRESS OR LOCA V CITY; kit <br /> r 0 <br /> OWNER NAME ti G owTl: [� r + 1,L� <br /> APN: ICATIONf: r-s C) DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: - <br /> REMARKS: <br /> } LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> IV <br /> �oI <br /> 1 <br /> II HTI7- 1, M- <br /> TM Ti i <br /> 11 ,11111 M W i l III l i l l l i i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth 5oil Type _ Depth Sail Type Depth - Soil Type <br /> Test Hal # 1 Test Hale # 2 <br /> Parcel: Diameter: 1 in ❑e the in Parcel: Diameter_ In De the in <br /> TUAE READING ii WA7FA DROP RULLED _ Tur READING WATER DROP REFILLED <br /> .� - <br /> PERCOLATION RATE: minlin PERCOLATION RATE- rninlin <br /> RECOMMENDED SEPTIC A EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY—I ki, aJ'zi WOULS Phone:a Date t f <br /> TEST CERTIFIED BY: Phone. Date <br /> O�S�ERVED BY (REHS): Phone i Date <br /> +A' <br /> V►�A40oh-01 Ir'N 1 r � O <br /> , ��� � � C TEST RA FORM <br /> '_ �� iu `�II1 tr►� ll[Itc�GZ�r Y dtcc� Ifac�ec t;1I T GZ Ktv <br />