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ocaeln. SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 1`` 'i Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd <br /> Z <br /> PERCOLATION TEST RATE �} <br /> ADDRESS OR LOCATION: ;/ '�'— CJ �A: <br /> OWNER NAME. DATE: 7—�� <br /> AM: 't APPuCATION#- _PA- II 00039' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> CSC LOCATION OF TEST HOLES q2W WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-IN DLI PVC PIPE/ — 2-IN DIA.PVC PIPE/ -- <br /> 4-INDIA.SOIL BORING �— 4-IN DIA.SOB.BORING <br /> �. REFBd.H70ITT <br /> I. .. - <br /> 5�f REFILLHEIGHT -T=,' <br /> _ <br /> i l i l i l j <br /> SOIL PROFILE IF REQUIRED pa'r e <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soll T e Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: L in Depth: Parcel: Diameter: in IDe the n <br /> TIME READING WATERDROP REFILLED TIME READING WATERDROP REn,I.Eu <br /> G ov — '!5�z0 <br /> 3 <br /> U S z <br /> p z.• <br /> O � G <br /> PERCOLATION RATE: —4---l—min/in minlin PERCOLATION RATE:_ _____mini!n <br /> ,12ECOMMENDED SEPT"! RECOMMENDED SEPTIC AREA: <br /> .ST PERFORMED BY; T Phone: 082 Date ���-- <br /> TEST CERTIFIED BY: r_ Phone: _ �_ <br /> V] 4 ` Date <br /> OBSERVED BY (REH Phone_ �� Date <br /> EHD 42-03 REV 1112/09 FERC TEST RATE FORM <br />