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oPauln- 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 /> 4tiF piR <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: YV 3 5 fl�. J /(�/Ji'_1� l.�hF �/� CITY: <br /> OWNER NAME: ALL•_ ,4,,ji o A1-A M,1-L--A DATE: <br /> APN: 2 3q-,15 y ✓ 411 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/ i � i 2-IN DIA.PVC PIPE/ E <br /> 4-IN DI.A.SOIL BORING 4-INDIA.SOIL BORING <br /> q /b <br /> L_......_..�_..1..... - <br /> REFILL HEIGHT REFILL HEIGHT — <br /> :..._ ......... ._ ....r __ _ _ . <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 Depth: 3. 3t✓ Parcel: Diameter: in Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �v c Ry 3.ir� <br /> 3."7 3 G, 3. 4t <br /> 3.1 '� 3• $�2 <br /> 3 7-4 3. 48' <br /> 3-'7 ( <br /> l. 60 3 <br /> i 3o 3.6 d 5 <br /> PERCOLATION RATE: --_L_ 0 min/in PERCOLATION RATE: _----___—__---minlin <br /> ECOMMENDED SEPTIC AREA:_ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: AG c' _ Phone: 40`7-6oy -31 Fro Date f <br /> TEST CERTIFIED BY: Phone: off ft-S- Date _? -/ <br /> OBSERVED BY (RENS): _ —__ Phone------------ Date <br /> EHO 42-03 REV 11/2/09 PERC TEST RATE FORM <br />