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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: �� Ufo � �+' -If ne CITY: <br /> OWNER NAME: W DATE: <br /> APN: "` L} -.;L 2 APPLICATIONS: SAC UG I _—_ DEPTH TO FIRST WATER:'� F1 <br /> SOIL TYPE: t <br /> REMARKS: <br /> LOCATION OF TEST HOLES jsHovy WELLS AND STRUCTURES) <br /> 1­1 H -F-11 I Fn 1-1 J­1 I—] I[ <br /> I II� � �T t f i i}__1"r <br /> --� <br /> I 1 I i f I I D_t; - i I F f 1 I <br /> -- ,r— r <br /> Lt,,..Tg, <br /> SOIL PROFILE (IF REQUIRED <br /> Depth Soil lype De !h Soil Type Depth Soil Type Depth Soil Type Depth 5oit Tye <br /> Test Hale# 'I f_��j �� Test Hole#2 <br /> Parcel Diameter: in ❑0 the I4 Parcel: Diameter: in , De the in <br /> Time REA im WATER DROP REFILLED lrtm RE AD11*G WATER DROP Ro LiAo <br /> lei , 0 e <br /> C) cv <br /> l C 0Z T - - <br /> - l _G'. 02.Ll <br /> - ---- - — - <br /> -,_ l n •ffG - - _ - <br /> L2Z 61 f�!+ o, a -- - <br /> 1q. M D,a E -- - — --J <br /> PERCOLATION RATE: m}nlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: icy PhonE( __�_ _ -�� 4 Date ± 3 � <br /> TEST CERTIFIED BY, Phone: Date <br /> OBSERVED BY(REHS): Phone Date f � 5 <br /> EHD 42-03 REV 11*A9 PERC TEST RATE FORM <br />