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SAN Jo,4001N Cour" <br /> TAI 1-fEAI I-I-1 DF_PAR7MENT <br /> ENVII&_)NMLN CA 952.02-3029 <br /> �,. SLackfon, www.sjgov.ory/ehd 1* <br /> 600 Ease Main Street, <br /> 2091 468-3420 Fax:(209)464-0138 Web: � <br /> • To/epho�e'L <br /> +>7I' o n <br /> PERCOLATION TEST RAT <br /> D)Sc 1-I CITY: <br /> ADDRESS OR LOCATION: ' �7 I i `�.,,� DATE: <br /> OWNER NAME DEPTH TO FIRST WATER: <br /> 1 S APPLICATION Ji: <br /> APN: `ICJ <br /> SOIL TYPE Q <br /> REMARKS_ O <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUICTUIREs)' <br /> j PERCOLATION TEST SKETCH I PERCOLATION TEST SKETCH ' <br /> 2-IN DIA.PVC PIPE;, <br /> I 2-IN DLA.PVC PIP f If <br /> t _ 4-INDIA.SOIL BORING <br /> J_(�'DI:A.SOIL k30RING - <br /> i e <br /> REFILL HEIGHT �� <br /> n ? REFILL HEIGHT <br /> 1- ; - - � - , 3 <br /> �- -j-T �- <br /> SOIL PROFILE IF REQUIRED) - <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth P Soil Type Depth Soil Type <br /> Test Hole#1 <br /> Parcel: Diameter: <br /> in Depth: 3.i�, Parcel: Diameter:Test HOIe# 2 <br /> c2, <br /> T,„z READING In Depth: 3/J'OCi , AT`ERDP,CF REFILLED � <br /> D V <br /> TIME <br /> RE;,ORtflgTER DROP <br /> J3 <br /> i O 7U. U S REFILLED <br /> .3o ,-)a 3,0 <br /> j <br /> 3 <br /> �9l <br /> �7 Oo .l 3 .s <br /> ? <br /> 3v d <br /> oc I� j 3 . i�L <br /> - <br /> PERCOLATION RATE: O 3 <br /> RECOMMENDED SEPTIC AREA -- <br /> TEST PERFORMED BY: - min/in PERCOLATION <br /> -�I --_ <br /> TEST CERTIFIED 13 RECpMMENpEp TE G3 <br /> a <br /> OBSERVED BY(RENS): ' - — Phone- wg_ SEPTIC AREA: -` - <br /> ��J}c,� min/in <br /> Uw42-03RL-VI1.2/09 - - - _--�__ - --- Phone: Date /o`�-- <br /> o <br /> Phone_�l� � ate <br /> D41/�--�~_ <br /> Date <br /> PERC <br /> sr�Ic I-o <br />