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SAN JOAQUIN COUNTY <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 Fast Main Street, Stockton, GA 952U2-3U29 <br /> Telephone: (209)468-3420 Fax(209)464-0138 Web:www.sjgov.org/ehd <br /> \q�e <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2fIVOO /V. MAC,"ILL.E. F-b• CITY: CLe Wt QTS <br /> OWNER NAME- C CPA-IM • M&RI LyAJ ECADIZ- ON-11002-IT- <br /> DATE: 10 -21 - I I <br /> APN: ISO�O + S APPLICATION#: ON-11 O 02.I T- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURE <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-LN DL4 PVC PIP& -__ — :.INDIA.PVC PIPE, _— <br /> A-iN DTA.SOIi.BORING _1JI L IN DIA-SOIL BORING <br /> REFILL HE[[Gffr - REFILI,NEIGM <br /> _— <br /> SOIL PROFaE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth I Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel:a I Diameter: In I Depth: 3.Ljdpar—ce, IDiameter: In I Depth: in <br /> Tae RE imc WATEr,DRCF REFuro TIME RE IMO WoTERDRa:= RFrIL FD <br /> 'i <br /> 6 <br /> 21 13 <br /> JD_ <br /> PERCOLATION RATE: —.� L minlin PERCOLATION RATE: __-_minlin <br /> RECOMMENDED SEPTIC REA: RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: --• Phone: _?,... _ Date ��_, '-_j <br /> TEST CERTIFIED By <br /> _ Phone: 9O1 Q� Date —I/ ' al <br /> OBSERVED BY (RE tip. z°' = Phone <br /> Date %�' <br /> ( _ 1/// <br /> EHD 12-0J REV 111VW PERC TEST RATE FORM <br /> kat -- �')v — <br /> 2:6;L j - - <br />