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SAN JOAQUIN COUNTY <br /> �o oo ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 96202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> <,Fo�� PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: �� r_r-AP-b CITY: AC Paiteo <br /> OWNERNAME: ME(LtLy AN-IJ 6-DMF--2- DATE: S -1Q -iq' <br /> APN: oo5-- 14s-- ii APPLICATION#: 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 <br /> - 2-IN DIA.PVC PIPE/ -`-"' —� 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I I 4-IN DIA.SOIL BORING <br /> r � <br /> t <br /> i k i i s <br /> REFILL HEIGHT 3•S5,i " t REFILL HEIGHT E <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3.I0 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �0 4.3 . 41 3•�`� <br /> 1:O G -1. 21 ,513 '3 � <br /> 1c.3c- qj5 ,Lq 3. �a <br /> 11-CIO 3 3 <br /> 31 <br /> PERCOLATION RATE: �•�V min/in PERCOLATION RATE: minlin <br /> `ECOMMENDED SEPTIC AREA:_ ___________ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _ �C Phone: LM-6t)9.90YO Date .S_ld <br /> TEST CERTIFIED BY: __ Phone: Zf q=32y__015�_ Date ?- 10 -11 <br /> OBSERVED BY (RENS): -,2( _ __ __ PhoneDate 5/ (v/19 <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />