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ga_ o 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.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 'V J CITY: J L' ✓ 1 <br /> OWNER NAME: DATE: qVI CI �U-RF+s <br /> APN: —U (7- APPLICATION#: 0(-) DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Q� <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i <br /> fI CI-1I11FI-ThI-I_ I III <br /> CI1I � � f l � <br /> I FI_ <br /> I <br /> - -�-T-T �T�7 FT I <br /> n I [] <br /> l l-�Fl I I—I lF —1 Fl l l l l l l l i <br /> F ^ <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type I Depth Soil TVDe Depth I Soil Type I De th I Soil TVDe Depth Soil pe <br /> Test Hol # 1 Test Hole#2 <br /> Parcel: I Diame ter: In I Depth: in I Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> rZ <br /> IN <br /> �Q,AdI l <br /> u .S <br /> PERCOLATION RATE: 0 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY`j( b1/I Phone: ajj %( Date U / <br /> TEST CERTIFIED BY: Phone: Date <br />�fA/fO SEReVED BY(REHS): -./ P nve�r' Date <br /> - -01"FF� wi K "�-1' fv.io +-p �� I�"tcxg- ak�/� `Z'/,/ pE�C FORM <br /> RM <br />/�/� Y - YIv�L� WIVINLCLA�C CC!/LQlcc� c�vC4 I F (0.CRA wL'1 f� �1 <br /> z'L re- Yi Gl 4eq,4 ltNe rNlolGvlu�- -C cam ( �P �. <br />