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e,44!1N,\ SAN JOAQUIN COUNTY <br /> of .off <br /> s ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209'1468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: XCI 4,S• I�nlf QV\ (Z4. cnry: I004 <br /> OWNERNAME: tYOTWIAIJ / DATE: Q_ I <br /> APN: 7-' sR` �0 - 0(o APPLICATIONIf: PPI-11000(0(p DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. CIAy <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH ^. PERCOLATION TEST SKETCH <br /> I <br /> 2-IN DIA.PVC PIPE' `- 24N DIA.PVC PIPE/ <br /> yl 4-IN DIA SOIL BORING TT 4-IN DIA.SOIL BORING <br /> �^ REFILL HEIGHT Q. 7. REFII.L HEIGHT - <br /> __ <br /> ` 111 ! 1 '-_iiiIII i1 fll IIIIIiilll i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type 1 Depth I Soil Type 1 Depth Soil T pe <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: n Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME REAC^NG WATER DRcr REFILLED <br /> 10 i Iv!v -1 Q.6 <br /> I — / . .J <br /> ll : (-t v l : 6 yI �- v q .ui; <br /> LA IT I u <br /> vs v 4 .b <br /> Ur / t II.0 L/ L/I L•( <br /> PERCOLATION RATE: min/in PERCOLATION RATE: u (�� min/in <br /> ,-RECOMMENDED SEPTIC AREA:___ _ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _ ___ Phone: 01�(•01k� Date <br /> TEST CERTIFIED BY: - __ Phone: 3 -0( �! _ Date C •22'zU4� - — <br /> OBSERVED BY (RENS): _ _ __ Phone_�23__�[ __ Date �f�azX// <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />