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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> , <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> 1pw-v / PERCOLATION TEST RATE ( � j( <br /> ADDRESS OR LOCATION: 12/- `-'J 4 N( 1 o h G CITY: /5/1 Gl A 1 e-cl <br /> OWNER NAME: DATE: Q -.2Z `/S <br /> APN: AOI - �D _ O2– APPLICATI #: PN--I5O0/14S DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-IN DLI PVC PIPFI "-�'I�- 2-IN DIA.PVC PIPEi - <br /> 4-IN DIA SOIL BORING 4 IN DIA SOIL BORING <br /> REFILI,HEIGHT <br /> REFB.L MIGHT <br /> I <br /> SOIL PROFE OF REQUIRED <br /> Depth Soil T pe Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T pe <br /> Test Hole#1Test Hole#2 -- <br /> Parcel: Diameter: in I bepth73,35 I Parcel: Diameter: 1.1 in I Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> 30 _ <br /> J, w rliff <br /> pbr 3 .' . O <br /> p , ,o <br /> /91'/0 K S <br /> o 0 <br /> V <br /> p v �- <br /> :3� � r <br /> PERCOLATION RATE: _ -444.2-- min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTICEA:___ ,j��_ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: � �!/ Phone: , Date _i��✓l L�� <br /> TEST CERTIFIED BY: _ ___- --- ------ Phone: t 2�'I)_Of 9� Date <br /> OBSERVED BY (REH /- oOget< Phone__ y53 45___ Date Z` <br /> `� EHD 42-03 REV 11/2J09 F6C TEST RATE FORM <br />