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P4�,y 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:rvww.sjgov.org/ehd <br /> Telephone: <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: �I"EV� Si CITY: <br /> OWNER NAME: S1 n!G j t f K1J P` DATE: <br /> APN: Z.3 a/ - c - ( �' APPLICATION#: �� ' ���ULDEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH i I I PERCOLATION TEST SKETCH ._ <br /> ......f—i.—I -- <br /> 2-IN DIA.PVC PIPE/ i ) 1 i 2-IN DIA.PVC PIPE/ 1 <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> ........ <br /> ___. <br /> REFILL HEIGHT i ) REFILL HEIGHT <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3 . Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 1 c6 lf.a4 3 3.7 <br /> j <br /> =3Z- 3."i <br /> O c) 3 ,cello l � <br /> PERCOLATION RATE: _---�3 11 -1--min/in PERCOLATION RATE:_----______---minlin <br /> -7COMMENDED SEPTIC AREA:-_—___ RECOMMENDED SEPTIC AREA: <br /> _ST PERFORMED BY: _ c. s, �i��'C O Phone; Date 12 <br /> TEST CERTIFIED BY: Phone: Zvi -32- 1-0111 6- Date <br /> OBSERVED BY (REHS): " ' <br /> Phone--- Date 2 <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />