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4 � SAN .IOAQUIN COUNTY <br /> s <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; <br /> OWNER NAME: �� !1 I �t � rf Si //77 ff�` DATE: f f <br /> APN: APPLICATION/: 'SkC& SI r36 DEPTH TO FIRST WATER: F1 <br /> SOIL TYPE: C <br /> REMARKS. 1'4U xJ, a <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> [P F1 FFH F1 -1 M-. 11] 11 -1 IT <br /> J ; At i l l ihii 1 _ rT <br /> TV, <br /> IT <br /> J <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth— Soil lype Depth Soli Type Depth Soil Type Depth Sol!Type <br /> Test Hole 0 1 Testa Halo#2 <br /> Parcel: Diameter: In Depth: Parcel: Diameter: In D h: in <br /> TIME READING WATER DRDP REFILLED Tmm READINGS WATER DROP REFILLED <br /> e7 <br /> 11 ,Q 9` - <br /> v <br /> 12 55 r. d .0 <br /> PERCOLATION RATE: C minlln PERCOLATION RATE: minfln <br /> RECOMMENDED SEPTIC AREA: RIECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: f c ll�lJ��1 t �� ' Phoned-2,1 . 2 "� Date <br /> TEST CERTIFIED BY. Phone: Date <br /> OBSERVED BY(RI;HS): � � 4 t z Phone_ Dale i'L J ' <br /> EHD 42-03 REV I I r2l09 PERC PEST RATE FORM <br />