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wK�!r SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1" 600 East Main Street, Stockton, CA 95202-3029 <br /> \' �•, Telephone:(209)468-3420 Far(209)464-W38 web_www.sigow.org/ehd <br /> TY <br /> ' �`�� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATIOIC Z4(4"o N` MIrcK-✓ILLS RD• CITY: CLEM EfOTS <br /> OWNER NAME: PH 1 L t'1 ENIeY DATE: (A - <br /> APN: p z.l - 15'0-D$♦ - ZLP APPLICATION R: PA - I 1000';CP DEPTH TO FORST WATER: Ft <br /> SOI.TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES iSHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-LN DIA PVC ME/ 2-IN DTA.PVC PIPET _- <br /> 0-INDI.A.SOMBORM, 6-INDIA SOILBORIDIG 1 <br /> F—a <br /> RFFII.HIIGHT /� - — REFILL M J, <br /> ( I 1-1 <br /> I I 1 i <br /> SOIL PROF iLE OFREOtIRED <br /> Depth Soil Type Depth Soil Type 1 Depth 1 Soil Type Depth Soil Type I Depth 1 Soil Type <br /> Test Hole#1Test Hale#2 <br /> Parcel: Diameter. In De tit: in Parcel: Diameter: In I Depth: in <br /> TIM-- READING WATER DROP REF9LEo TIME RE ING WATER DROP REFUE11, <br /> FL - <br /> lt� <br /> 4 CI S <br /> i <br /> 0! l- L <br /> C' ! <br /> PERCOLATION RATE: <�.S mirdin PERCOLATION RATE: 3-�__mlMn <br /> RECOMMENDED SEPTia EA: _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: C' Data �— <br /> TEST CERTIFIED BY: Phone: aYt &! Q g p L G- <br /> OBSERVED BY(REH y _ Phone /0�11�' { Date d- 7- <br /> EHD 12-03 REV 11r2M9 PERC TESr RATE FORM <br /> r01Y - 0.65�- <br />