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�aav!h. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> " 600 East Main Street, Stockton, CA 95202-3029 <br /> AuTelephone:(209)468-3420 Fax:(209)464-0138 Web:wvnvsjgov.org/ehd <br /> e- ri <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z9000 /'l. CytP<kVILLE 12.D- pry: CLCme"-rs <br /> OWNERNAME: GEKAK-D -t M6RIL-y!✓ F-&02- DATE: tO-7-I-11 <br /> AM-0011-19-0-O7 + -of APPLICATION#: PA OD 7-15- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES(pow WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH A PERCOLATION TEST SKETCH <br /> 2-12N DIA.PVC PIPE/ '-- 2-INDIA PVC PIPE, --- <br /> LINDIASOn.ROA1VG 4.1N DIA.SOI,BORING <br /> RFEII,LHE1Gf1 <br /> SOIL PROFdE OF REQUIRED <br /> Depth Soil Ty Depth I Soil Type I De th Soil Type I Depth Soil Type Depth Soil T e <br /> 1 Test Ho #1 Test Hole# 2 <br /> Parcel: Diameter: In I Depth: n Pa—rc e—I I Diameter. In I De h: in <br /> Tim- REToING WAT FR DRCF REF iii.ED TIME READING WATEREI Rt.ILLE D <br /> 2 <br /> 2 6 <br /> ta 4�a/ <br /> Y l <br /> Z. <br /> PERCOLATION RATE: minlin PERCOLATION RATE:- - minrin <br /> RECOMMENDED SEPT EA:_ _ RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: Phone: QZ Date � �� <br /> TEST CERTIFIED BY Phone: Date <br /> OBSERVED BY (Rd _ �? _—_ Phone_ " _ Date <br /> EHD 42413 REV 1112/09 PERC TEST RATE FORM <br /> / yZ �:- O. `f32 <br />