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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 /> �IFQR PERCOLATION TEST RATE <br /> ADDRESS OR LOCA��TI((ON: l � D C� � ! �S � ��' / I�p-,l I' .>✓ CITY: �BSc:A L o/j <br /> OWNER NAME: 1VGlCrrf Ali cDl~/.JC rsL2wont° DATE: __ Z.L 4 <br /> APN: 2,1 ,2 7 4 ' -3 C APPLICATION#: 1-I �� J'r'f DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH j <br /> .-r ; I PERCOLATION TEST SKETCH <br /> t-{ <br /> i <br /> j 2-IN DIA.PVC PIPE/ "—L—I— 2-IN DIA.PVC PIPE/ ;- <br /> 4-IN DIA.SOIL BORING 4-INDIA.SOLI,BORING <br /> 7 <br /> .......... <br /> ... S <br /> ........ <br /> 83 ...... <br /> .......... <br /> } <br /> ---f'---'t`--k- 4 <br /> REFILL HEIGHT -7 ? f B t REFILL HEIGHT j <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: in I Depth: Parcel: k Diameter: ._l in I Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> 4. 7 , <br /> 3 <br /> q- 71 51-0 <br /> I 7,X q ,30 <br /> PERCOLATION RATE: --_ -_--_—_-minlin PERCOLATION RATE: " <br /> , _—__---mWin <br /> A"ECOMMENDED SEPTIC AREA:_--__--_—_= RECOMMENDED SEPTIC AREA: _---_ <br /> WFEST PERFORMED BY: `f -�1—�c y_ Phone: : U`i=![s _�?i SSU Date / V'--V /.i_— <br /> TEST CERTIFIED BY: jN C ------- Phone: 7.09=3 Z9_01 1 Date to -Z-14 -4 <br /> OBSERVED <br /> o -Z-14 -!1'OBSERVED BY (REHS):*90� Phone Ze_ ��_ 3/_ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />