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SAN JOAQUIN COUNTY <br /> : ENVIRONMENTAL HEALTH DEPARTMENT <br /> " K 600 East Main Street, Stockton, CA 95202-3029 <br /> �.• �'' '' Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATIO/N� J H/' Gtc t�/ r tt CITY: <br /> OWNER NAME: ✓ + fes' �� f �' ;QACc I�uY C DATE: <br /> APN: U7T - -00.5:2,S3 APPLICATION#: PPt'• I s-000+E jr DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> -- 2-IN DIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ <br /> 4-IN DTA.SOIL,BORING 4 IN DIA.SOIL BORING ! <br /> 1 - <br /> 3.� <br /> REFM L IMIG14T 6 - - - REFILL MGHT <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil T pe Depth Soil Type Depth Soil Type Depth Soil T <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth: Parcel: Diameter: in Depth: <br /> TIME READING WATERDROF REFILLED TwI BEADING WATER DROP REFILLED <br /> r <br /> 3y �, <br /> 0 0� <br /> ,;Z <br /> r D oZ .4 <br /> c� <br /> PERCOLATION RATE: — _minlin PERCOLATION RATE: -___ ___min/in <br /> RECOMMENDED SEPTI EA:_ _ RECOMMENDED SEPTIC AREA: __ T <br /> TEST PERFORMED BY: � 0 `"�f-- Phone: c� _ Dat <br /> e 'l -- <br /> TEST CERTIFIED B _ _ Phone: .�?� -�� 6Date <br /> OBSERVED BY (R HS): c t . ' _ Phone_ , _ Date !!5 <br /> EHo 42-03 REV 112/09 PERC TEST RATE FORM <br /> lZ <br />