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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y ' < 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ciFOR '' PERCOLATION TEST RATE <br /> CITY: <br /> ADDRESS OR LOCATION: 4(�µ� N IAS{ �D DATE: <br /> OWNER NAME: P�lo-t-195 F-AAMS <br /> APN: 055 I(JV V APPLICATION#: PA^13001 I DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST BOLES SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _ — _ PERCOLATION TEST SKETCH r.... <br /> - —�� 2-IN DIA.PVC PIPE/ <br /> 2-IN DIA.PVC PIPE' i 4—IN DIA.SOIL BORING <br /> 4-INDIA.SOIL BORING <br /> REFILL HEIGHT — L HEIGHT <br /> —. <br /> I <br /> — — I i j <br /> I i i i i <br /> e i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil T e Depth Soil Type Depth Soil T pe Depth Soil T e Depth Soil T e <br /> _ Test Hole#1 Test Hole# 2 <br /> I: -1 Diameter: in I Depth: 3 3s Parcel: Diameter: in Depth: <br /> TIME READING WATERDROF REFILLED Twr READING W.ATE,-DROF <br /> . - v cl <br /> jn o 4, O ---- <br /> LU <br /> PERCOLATION RATE: _?- -----minlin PERCOLATION RATE: ___minlin <br /> RECOMMENDED SEPTI REA•__ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: ;2— Date �5 <br /> 2�_ (� _ <br /> TEST CERTIFIED BY: ����, Phone: Date —J 2- <br /> _,�_ <br /> OBSERVED BY (RE _ Phone_ Date <br /> PERC TEST RATE FORM <br /> \.^ EHD 42-03 REV 1112/09 <br /> �Z: L' 3 .q4� <br />