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a�IK. 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 /> FOR PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 6 t cro S• S`("I N I_t�y R D . CITY: gTv C4r_-M j <br /> OWNER NAME: -T-CM }tvKSLE y DATE: 3 - I%+_` I"T <br /> APN: ilk -D(a0-OT-I, /13-p'7V'2tAPPLICATION#: PR -I&007ZT DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATIONOF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I <br /> PERCOLATION TEST SKETCH ! PERCOLATION TEST SKETCH r <br /> -- 2-IN DIA PVC PIPE/ �- I ! 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOI.BORING 4-IN DLA.SOIL BORING <br /> q.10 <br /> i I <br /> • I <br /> REFILL HEIGHT 3•ka i ' I ) REFILL HEIGHT �� Q i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth 1 Soil Type I epth Soil Type I De th Soil T pe <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth: Parcel: Diameter: in Depth: <br /> TIME READING WATER DROP REFILLED r.'3 <br /> READING WATER DROP REFILLED <br /> S-. 5.5 . $,Z 15.0 . 9� 0.2 <br /> 3•g3 I 3 •fr� S v • 4 / N'•O.3. 5'3 bl . %1.6 3 3.7 13 ! .0 <br /> l1;.2:r 3.SA •03 61 /l:30 /4. N(o D <br /> / :S5 3.6'f ' 03 .(Py /a %Gb / 9 4d p <br /> 3. 67 163, <br /> 0 /: o iS• oa <br /> PERCOLATION RATE: ---_J� __minlin PERCOLATION RATE: _� (v --minlin <br /> RECOMMENDED SEPTIC AREA: ___ RECOMMENDED SEPTIC AREA: —_ <br /> EST PERFORMED BY: �' Phone: Z D4_�p »» QDate 3 II/n <br /> TEST CERTIFIED BY: Phone: ZeS '3Z9-o1'9 ,k Date -14- <br /> OBSERVED BY (REHS): v� Phoneme i-�sl�_ Date <br /> EHD 42-03 REV 11009 PERC TEST RATE FORM <br />