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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> k, <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: .I,c C 3 —CITY: (,5 c.-/1 1,0 <br /> OWNERNAME: --___DATE: <br /> APN:_�-)"!– .)_6 C, APPLICATION#: l~jR I rY flyDEPTH— TO' FIRS'T WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> .......... <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> ­1........... <br /> ....................... .......I <br /> -7 <br /> REFILL HEIGHT REFILL HEIGHT <br /> .......... ............... <br /> 1 F ] <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth -Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#I Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3. 3 j- Parcel: <br /> i ] I Diameter: in I Depth: 'R, 7(� <br /> TIME READING WATER DRCP REFILLED TIME RE-ACING WATER DRop REFILLED <br /> W'c 7 <br /> d <br /> Y, 3,5- 4,116 ­fo 31.Y3 SRI) 15 <br /> -7 q;01 7. <br /> : 3S 3.13 1 5- 3,6 i q'.j,7 7, T7 3,), 7, 45 <br /> /O.C,i- 3. -15, �jlf 3, 4"2 i(,,0" 7•.5'4fcf7, r 1 <br /> /0: 7. 7 , <br /> oc <br /> 131 /2;c 7 <br /> PERCOLATION RATE: 7 3 ___---minlin PERCOLATION RATE: minlin <br /> "COMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED BY: Phone: 7' Date /,/`./hr <br /> TEST CERTIFIED BY: 0 Phone: 20 <br /> 11 Date -?,If-1 <br /> k <br /> OBSERVED BY (REHS):: Phone.?; - D ZZ9 <br /> ate <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />