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•P�uI'Y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .;-,.• <br /> ` Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 3 2Z E. �� /� ° CITY: e' <br /> OWNERNAME: .51k vv` LAM-tZ -r DATE: <br /> APN: Ods - 1 4(0- c-+ APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> Y <br /> PERCOLATION TEST SKETCH <br /> PERCOLATION TEST SKETCH <br /> ' ? � � I I <br /> ..._............x.._n....-�—A• 2-IN DIA.PVC PIPE/ <br /> 2-IN DIA.PVC PIPE/ ! I 1 <br /> 4-IN DIA,SOIL BORING 4-IN DIA.SOIL BORING <br /> C <br /> 0.14 <br /> q1 ' <br /> 1 <br /> 3 } <br /> L <br /> j) <br /> _....... _-,},...........�............•__............. <br /> _....... <br /> REFILL HEIGHT 3 I <br /> � 4--- REFILL HEIGHT <br /> I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 - Test Hole#2 <br /> Parcel: Diameter: t-j- in Depth: 3°"L Parcel: Diameter: 4 in Depth: 14.6} <br /> PREADIN,GADING WATER DROP REFILLED TIME READING WATERDROP REFILLED <br /> • y'a- 3 c�Z I=3� �r,ceZ z :og r 8.&, (� oma /z:3k f O•4D(0S, _ 3k 9 0 `+•c� �.Cv�i : 3k t3• `fir �. +p.o i — 3 0� ( �S 0.,4.� 3 : 3� (3•5-3 0.40 <br /> , -- <br /> It, <br /> RATE: -z. 1 min/in PERCOLATION RATE:_----_(0.2 S__---minlin <br /> RECOMMENDED SEPTIC AR _— RECOMMENDED SEPTIC AREA: _----__—__--_ <br /> FEST PERFORMED BY. __ Phone: �`L' °�'32Z Z Date •_t--to 0 _— <br /> TEST CERTIFIED BY: _ _ _ ____-� -. -- Phone: -01-3y`t_�I elk Date —4- <br /> ): _d �� -� ; ? _ Phone�G�) Date <br /> OBSERVED BY (RE - <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 1112/09 <br />