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zo 4 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ( 600 East Main Street, Stockton, CA 95202-3029 <br /> • Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.swsjgov.org/ehd <br /> TIP/ PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: L SOS} (-AM 61 E(-S (2if-� - Cm: -rf-A-r- <br /> OWNER NAME: AODI)L C4.1ASHMAWAL-A DATE: R - 21 - /4 <br /> APN: 2-O9 - Z S-U - 41 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I . <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> ."..... 24N DIA.PVC PIPE/ ...�......._L---- -. 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING t 4-IN DIA.SOIL BORING I <br /> IF 1-- -�--I-' <br /> ILI <br /> - T-� <br /> x - <br /> REFILL HEIGHT I-~ -� REFILL HEIGHT *;- <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T pe Depth Soil Type <br /> Test Ho # 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3,3 Parcel: Diameter: in Depth: <br /> TIME READING WATERDROP REFILLED TIME READING MATER DROP REFILLED <br /> GD 3 <br /> 30 <br /> t <br /> i Oa 'Di' C7 <br /> '/0" -36 <br /> 06 <br /> I S <br /> >6b <br /> PERCOLATION RATE: --__ .Z min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTI REA:_— RECOMMENDED SEPTIC AREA: ------ y <br /> •EST <br /> PERFORMED BY; Phone:_, �6�?—_ Date �aT 1? <br /> TEST CERTIFIED BY: Phone: _3 Z 9_01"l k _ Date S-_31 _11� <br /> OBSERVED BY (REH Phone o _—_ Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />