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av SAN JOAQUIN COUNTY <br /> �E ENVIRCINMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, GA 95202-3029 <br /> `'= ) Telephone:(209)468-3420 Fax_(209)464-0138 Web:www.sjgov.orcyehd <br /> t <br /> PERCOLATION TEST RATE <br /> ADDRESSORLOGAnON: ZN. MArCIC-N1u-E CITY: CL-E''NEN-fS <br /> OWNER NAME: PN t L- H t-Ngy DATE: te - -i - i 1 <br /> APN: 07-1-(SD-O$ + - 2(v APpt1GATm S: PA -11000S DEPTH TO FIRST WATERFt <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURE <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-LV DIA PVC PHTJ —i I 2-IN DLA.PVC PIPE, <br /> LTii TN.4.SOB.flORiVG - 4 IN DLA SOIL BORING <br /> - <br /> f <br /> - -- <br /> - REFILL HEIGHT - ----- REFILLMUfff <br /> - - -- - - - - <br /> i <br /> SOILPROFILE F REQUIRED <br /> De th Soil Type 1 Depih Soil T e Depth Soil Type Depth Soil TyDe I Depth I SoilTy e <br /> Test Hol S 1 Test Ho .S 2 <br /> Parcel: Diameter. in I De Sin Parcel: Diameter: In I Depth: In <br /> R <br /> TIM-- Emiw WATERDACP REFILLED TINE RFAnIND WATER DROP REMLLED <br /> G 0 <br /> 4 <br /> L) <br /> c ` L y <br /> L) 7 <br /> oz .:2 <br /> Ew <br /> PERCOLATION RATE: _ I ZS _alwin PERCOLATION RATE: � • t minlln <br /> RECOMMENDED SEPT EA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 7. /A& Phone: Date _ - '-/ <br /> TEST CERTIFIED BY: . Phone: ?uF2R-�i �/ Date <br /> OBSERVED BY(RENS): Phone !L69-22��-3 Date <br /> ENU 42-09 REV 112W PEW TEST RATE FORM <br /> 3-�- <br /> U2- � j:abl.l - LI. x <br />