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QPrti SAN JOAQUIN COUNTY <br /> aaP ':r.c.c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> i Telephone: (209)468-3420 Fax (209)464-0138 Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:a.R ��S l\L�,I S on Rd CITY: <br /> OWNER NAME: DATE: <br /> APN: T'; i - Z-tU -OLo APPLICATION#: PR'tt 000(y(n DEPTH TO FIRST WATER: Fl <br /> SOIL TYPE: CLPAy <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE71. - 2-IN DIA.PVC PIPF_, <br /> LVINDIA. <br /> -- <br /> 1_- 4- DIA.SOIL BORING �- -' y 4-IN DIA.SOIL BORING - <br /> 4h1 <br /> -E <br /> 1- _ <br /> (,,I = i <br /> ^ REFD,LHEIGFrr ` _ REFILL HEIGHT <br /> iii iiil ! 1-ice_ � � <br /> SOILPROFILE IFREQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# Test Hole#* <br /> Parcel: Diameter: in-j Depth: n Parcel: Diameter: in I Depth: in <br /> TIME READING WATPRDROP REFILLED TIME READING WAIHj DRu,, RE-ILLEJ <br /> Y 0I (,2 :oo (.t1 <br /> o: oI l vLlto <br /> OX U <br /> -z-C' CL. to <br /> Z I LA, 7 Y r ) <br /> 1.11 l19 di I O, loo <br /> I L4, 7,a <br /> L4 Io <br /> PERCOLATION RATE: �� minlin PERCOLATION RATE: minlin <br /> —RECOMMENDED SEPTIC AREA: <br /> _ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: Phone: gyr � -0(W <br /> Date _ 20�__ <br /> TEST CERTIFIED BY: _ Phone: U!�r7jo-Lj&- Date Lt-22-7c <br /> OBSERVED BY (RENS): Phone-4552—Z Date <br /> EHD 42-03 REV 1112109 PERC. EST RATE FORM <br />