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oar.ti 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.sjgov.orglehd <br /> P� <br /> "'" / / J ✓ <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �`7 /`1 , G 1 za"ei !r CL CITY: <br /> OWMERNAME: 91� Ah rroy'i.hNfJ1 DATE:T��^Z� 'IS <br /> APN: '2 O 7 Q,�O ,D APPLICATION s: PR-ISoo1'+3 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH ____j PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PB'E 2-IN DN.PVC PIPE,' <br /> 4-IN DIA.SOB-BORING - 4-IN DIA SOIL BORING <br /> 3 to <br /> I4 <br /> REFILL HEIGHT <br /> Lj <br /> SOIL PROFS E OF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type 1 Depth Soil T e <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth:41 Parcel: Diameter: in I De h: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DRor REFILLED <br /> ✓� �(7 <br /> ' Q V <br /> O/lO O <br /> ' b <br /> v o <br /> 1 a -- <br /> PERCOLATION RATE: _ _< L _miNin PERCOLATION RATE:_ __mien <br /> RECOMMENDED SEPTIC REA: �/� _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ,+(_ C_!�" _ Phone: f,L�o�Z _ Date �� <br /> TEST CERTIFIED BY: �+-�'�----- Phone:f,329 Date15-- <br /> `, OBSERVED BY(REH _ `/C ujLl Phon�Gji =��� Date <br /> EHD 42-03 REv 1Ir2m9 P&C TEST RATE FORM <br />