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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: _ b� 7 3 /V :x,11 G`1�7 c:�• ��� CITY: / 61 D ti i� �ck <br /> / <br /> OWNER NAME: 1 r ig I"� y .1 nN c✓ DATE: 1F-z 3 —1 1 <br /> APN: L: APPLICATIONS: PA - 1 000 Z 3-3 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 L' <br /> 2-IN DIA PVC PIPE - 2-IN DIA PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I 1 I 4-IN DIA.SOIL BORING <br /> REFILLHEIGHC .H6 _ --REFILLHEIGHT <br /> I - - I I I T 1 1 A, , <br /> SOILPROFILE IFREQUIRED <br /> Depth SoilType Depth Soil Type De ih Soil Type De pth Soil Type Depth Soil TvDe <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I De the Parcel: Diameter: in I Depth: in <br /> Tire, READING WATERDaor RFFuiFo TEE Re..DINc WATF,Drtc REFILLEo <br /> a , <br /> PERCOLATION RATE: '�I ---min/in PERCOLATION RATE: minlin <br /> —RECOMMENDED SEPTIC EA: RECOMMENDED SEPTIC AREA: _ <br /> EST PERFORMED 8Y: ` Phone: +�x5 Dated <br /> TEST CERTIFIED BY: Phone: 3AI-01 q�_ Date U-4?-O— <br /> OBSERVED BY (REH Phone�����_ Date <br /> EHD 42-93 REV 1172/99 PERC TEST RATE FORM <br /> 36- 4` ?-- <br /> 6 — U. — `f- � <br /> y,�&0 - ') <br />