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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> yi rY 600 East Main Street, Stockton, CA 96202-3029 <br /> Telephone: f209?458-3420 Fax: (209)464-0138 Web:wv.,w.sjgov,orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATtoN: CITY: <br /> OWNER NAME: � -fir`j ;��f� ? ! l' I `^I DATE: (A` <br /> APN: ZS S-- I—+� APPUGATION#: P&- I 000,q O DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS mato STRUCTURES) <br /> ......_ ._.. - - - - - <br /> _ TEST <br /> - <br /> PERCOLATION TEST SKETCH PERCOLATION- _ � T SKETC[-[ <br /> W-r:DIA :QVC PIP} __._:.__._..__._:......_ z :DIA.PVC PIPE -.. <br /> 4-IN C)LA,Si_41_i3OTZlNU 4-IN DIA.5011 RC)R..INi�; <br /> i ..... y ,- —..,. <br /> �..._J. i..... -I. ..._._ - - <br /> - <br /> ._ ......._ _-__.._.__... <br /> i <br /> I. <br /> : <br /> ._.... _..... _I <br /> RT=.FtLi.HEIGHT =�1; I Pr-FULL}II?TCriIT <br /> -- - <br /> e € I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth I Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth 3, / in Parcel: Diameter: in Depth: i'.: in <br /> Il1t RErEE:-N� V'IAT r)T-,( RFFknt. ) Tmi Re:•.c NC: r�}r�z L iKi,i;^ (� �I '._ Fi <br /> '2i <br /> 7 f ) <br /> �.?y- I `fir`' � �"� �� �`•� -'-- <br /> PERCOLATION RATE: minlin PERCOLATION RATE- --- _-_<_3. ---__ mintin <br /> RECOMMENDED SEPTIC _ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: - _ Phone: _'_I - r Date _ --- <br /> TEST CERTIFIED BY /� _ , Phone. �I ----- Date <br /> OBSERVED BY (RFHS) - P1�one � _ '' Date <br /> FFiD 42-43 REV 1112J49 r <br /> F'r RC: rESI IRA rE FolW <br /> r <br /> 1 <br /> ....... .......................................... ...... <br />