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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.sigov.orglehd <br /> `'FQ": PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 15(03') J" 1 (RI Zl E• U 13£9 -1 y CITY: <br /> OWNERNAME: f?-JM VIME:NAAXS DATE: �' <br /> APN: 000 -0';-0-05 + - Oq- APPLICATION#: PA -I 10003 S DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: p <br /> a'r t-ATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH f PERCOLATION TEST SKETCH <br /> - 2-M DIA.PVC PIPE' i 2-IN DIk PVC PIPE/ <br /> 4-IN DIA.SOIL BORING - 4-IN DIA.SOD.BORING <br /> k . <br /> r�- <br /> 3,10 - -- <br /> ^ REPILLItEIGHT REFILL HEIGHT' —.. <br /> i-I r I 1 I ! 1` l i <br /> SOIL PROFILE IF REQUIRED as y�e Y <br /> De th Soil Type Depth ' Soil Type De th Soil Type Depth Soil Type Depth Soil T e <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 0 Parcel: Diameter: in L Depth: in <br /> TwE, READING WATER DRoP REFILLED TIME READING WATER DROP REFILLED <br /> 1) 6Y <br /> 16 �. <br /> all <br /> J , <br /> 0 3 <br /> b Z <br /> PERCOLATION RATE: � mirdin PERCOLATION RATE: minlin <br /> r RECOMMENDEDSEPT REA:_ -1�LA�_ RECOMMENDED SEPTIC AREA: <br /> PEST PERFORMED BY: f;V Phone: a Z Date — <br /> TEST CERTIFIED BYE - _ Phone: f-0( <br /> OBSERVED BY (RE ): -`� Phone �fl _ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />