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wRc!!Y\ SAN JOAQUIN COUNTY <br /> aa�f roti, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' 600 East Main Street, Stockton, CA 95202-3029 <br /> t\\J� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> G%cga" PERCOLATION TEST RATE ,{,�, p <br /> ADDRESSOR LOCATION: I I A �h CITY: /V/\I(,1-�I t 4 <br /> OWNER NAME: P-0I,I DATE: -1!5— <br /> APN: r) _)L� _ d� APPLICATION#: VY50014DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. f--/ <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <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 /> - I _ <br /> AEFB.L HEIGHT RFFB.LHEIGHT� <br /> i_.l � '_-i i i--I f i._ • �_- j i i_.i S I I ( - --i i . -i <br /> � zr 9 <br /> SOIL PROFILE OF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> it 14 Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth:" Parcel: Diameter: in I De the <br /> TIME READING WATERDROP REFILLED TIME READ NG WATER DRCF REFILLED <br /> i77 v <br /> l,S V 1 J _ r <br /> 1j f <br /> d.' ;,ab r14a . <br /> ,--'W <br /> r <br /> .,q.)- 'ro n.--44 - :5 !12 <br /> I � <br /> N;2- <br /> PERCOLATION <br /> RATE: _ �¢ mWin PERCOLATION RATE: G �f • 2— ___mien <br /> RECOMMENDED SEPT REA:__ _ RECOMMENDED SEPTIC AREA: _______ <br /> TEST PERFORMED BY: _ Phone: ��b �O�Z _ • Date �� <br /> TEST CERTIFIED BY: Phone: _32'=a I'1�__ Date <br /> OBSERVED BY (R ): - ! Phone �� -76 Date L / <br /> EHD 42-03 REV 1112009 FERC TEST RATE FORM <br />