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oaul7. 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 /> Fkoa PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z�+Y4S N• ►J0J Na P E fzb . CITY: Ttf-o P_�JTO1J <br /> OWNER NAME: ifI-EC-r— DAlMSACttEg- DATE: I - Iel -1 k <br /> APN: 001 - j-10- 3S APPLICATION#: PR- I S 00 2Slo DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH __— 1 ! PERCOLATION TEST SKETCH <br /> s <br /> 2-IN DIA.PVC PIPE/ 2-IN DIA:PVC PIPE/ <br /> 4-IN DLA.SOIL BORING 1 I i i I 4-IN DIA SOIL BORING <br /> /•3 !•'FLS <br /> -, L. <br /> ff <br /> 3.111 -+-i-f 3.v2 €. <br /> I I <br /> REFILL HEIGHT3•y a I RUILL HEIGHT 3••� ' <br /> _....- ... ._.. __. -.._.... .......-. <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type 1 Depth I Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: 3,/ Parcel: Diameter: in I Depth: -S . <br /> TIME READING WATER DROP REFILLED TIME READING WATERDRCP REFILLED <br /> o.()O am DRY - 3.Ale, It>.aa" - .S <br /> V 3. 1 7 3, 35 /0 • 2r 34 <br /> u: a 3. & 3,311 0 S 3. l <br /> 3. .5 .( 3. qS' <br /> 0;&K 3.6 s.a .ffi 3 .sb <br /> /uab 3.46 .3 11 :55 4.G 44 <br /> Itoa 3.411. . 3 11:05 3.FrI <br /> PERCOLATION RATE: _— - minfin PERCOLATION RATE:— —_--_minlin <br /> RECOMMENDED SEPTIC AREA:— __ _ RECOMMENDED SEPTIC AREA: <br /> FEST PERFORMED BY: G'Gd _ Phone: 3dq_6oy-3I$D_ Date / <br /> TEST CERTIFIED BY: Phone: —.37-'1 -oil Date ! <br /> OBSERVED BY (RENS): — _ _ _ _ Phone_— xl $[ Date vvi <br /> EHO 42-03 REV 1112M9 PERC TEST RATE FORM <br />