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au!n. 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.orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: S�='o C' %i MI !"IK QOQd CITY: � '-" �~• <br /> OWNERNAME: G✓IRfReCt- S/NG DATE: "� • J -/ <br /> APN: Oft-0-10-10 —APPLICATIONS: DR -I g O O Z Z 4 DEPTH TO FIRST WATER: R <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES SNOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH _ T PERCOLATION TEST SKETCH <br /> 2-IN DIA PVC PIPE `—` 2-IN DIA PVC PIPE/ <br /> 4-IN DIA SOIL BORING 1 I 1 4-IN DIA SOD,BORING <br /> RF-FIILMGEfr L --.. REFH.LHEGHT <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth I Soil Type Depth Soil Type Depth Soll T <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: 3/S57 I Parcel: I Diameter: fZ in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 9i 3S t; zo 9 : 35 <br /> 5 3 D, <br /> o v 5' <br /> D 3 <br /> '40I g 171 <br /> z o :3 b <br /> a 3 .'o <br /> PERCOLATION RATE: minfin PERCOLATION RATE:_ < . O _Minn; <br /> RECOMMENDED SEPT EA- RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 1. Phone: 2 JO d Date I_--;L <br /> tTEST CERTIFIED BY- _ Phone: ���1 _ Date _� a <br /> OBSERVEDBY(RE Phone_ ��.3`F�F3_ Date - <br /> EHD 42-03 REV IIZD9 PFRC TEST RATE FORM <br /> /l:3S - . 03 - 3 .29 <br /> tz' r66- 3.�y syw - <br /> 12 =uS - LAI. n3. - <br />