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PgV4' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �rFOR/ PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 95000 S_ Rird Rd CITY: Tracy <br /> OWNER NAME: Carl Navarra DATE: t <br /> Imo_" <br /> APN: 2,19-11 Q-05 nnrtion of -04 APPLICATION#: PA 45000S Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH _ __ _ PERCOLATION TEST SKETCH <br /> - 2-IN DIA.PVC PIPE' - -" 2-IN DIA.PVC PIPEi <br /> 4-IN DIA SOIL BORING 4-IN DIA-SOIL BORING <br /> REFILL HEIGHT - RE.FIL.L HEIGHT' <br /> L <br /> SOIL PROFILE IF REQUIRED f <br /> Depth Soil Type Depth Soil Tye Depth Soil T e Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: I Diameter: &4 in I Depth: -S- I Parcel: Diameter: in I Depth: <br /> TIM/E,�� READING WATERDROF REFILLED TIME RE461NG WATER DROP REFILLED <br /> ' L � i _!45 <br /> C►' r ! •r - <br /> r <br /> 0 Z <br /> ! Y <br /> PERCOLATION RATE: Lammin/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI REA: _ RECOMMENDED SEPTIC AREA: ___________ <br /> TEST PERFORMED BY: ' Phone: r Date <br /> TEST CERTIFIED BY: _ _ _ Phone: __3Lf'I—O 9 cY Date <br /> OBSERVED BY (RE Phone yj_ Date ` I / <br /> �' EHD 42-03 REV 1112109 FERC FEST RATE FORM <br />