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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,sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: ,l�C!/7'i'60 <br /> OWNER NAME: '4- O✓ DATE: to-•R- <br /> APN: L,�3 -/X� `�`a�Sl .S� �3� APPLICATION#: PA-•Vj'dOo�F�f DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> r_ <br /> PERCOLATION TEST SKETCH _ PERCOLATION TEST SKETCH <br /> - 2-IN DIA.PVC PIPE/ 1 2-IN DIA.PVC PIPET <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING _ <br /> -- H-- <br /> REML <br /> HEIGHT - REFILL HEIGHT <br /> . i <br /> '- SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type I Depth Soil Type I Depth Soil Type Depth I Soil T pe <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: 3, Diameter: in Depth: <br /> TwE READIt4G WATERDROP REFILLED Tim-. READING lA;r.t'-:,;DN,- <br /> yo <br /> 3u 1 . 7 3..5.-;L- <br /> 'D s <br /> 3 , - <br /> , -31 3 , 6,3 <br /> 3S>' :2 <br /> PERCOLATION RATE: :S-�___—_minlin PERCOLATION RATE: ____—_—__min/in <br /> RECOMMENDED SEPTI REA:___ _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: _ _ Date <br /> TEST CERTIFIED BY' _ Phone: �r011` .-- Date — _��^• ---- <br /> OBSERVED BY (RENS PhoneDate �!- <br /> `� LHU 4Z-03 REV 1112/09 PERC TEST RATE FORM <br /> i2; a - L'fi'/ - /I-,`f- - J <br />