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psctIAIN. <br />.1) <br />1-g•6 .... <br />ADDRESS OR LOCATION: <br />Parcel: Diameter: in Depth: <br />TIME READING WATER DROP REFILLED <br />it, tts ().1q Y .. 3 . 63 <br />IC 3c, t 3 '7 3 <br />'41 <br />3,51 <br />la: Ob .1. ‘1'5.- ,3 g 3. s-r <br />. 3 <br />1:0 b 4, 6- . 4 ,2 3, 6.•,,:i <br />i: 3e ii i ( <br />PERCOLATION RATE: .2, S/6, min/in <br />—F.COMMENDED SEPTIC AREA: <br />PERFORMED BY: 0- • <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS):1,--i'VV•A— <br />EHD 42-03 REV 1112109 <br />Depth: in Parcel: Diameter: <br />REFILLED WATER DROP READING TIME <br />_3 -_"7 E-_n__ <br />7 ))10 2-111i <br /> min/in PPERCOLATIONhone: 617:41E : s/e) <br />RECOMMENDED SEPTIC AREA: <br />Date <br />Phone: _3 - 01'1 k Date <br />Phone Date <br />PERC TEST RATE FORM <br />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.orgiehd <br />PERCOLATION TEST RATE <br />`4 k 4 S— <br />CITY: <br />OWNER NAME: R-C76E12:1-t) ADOtJPt L <br />DATE: <br />APN: Or+ - 2-0 19 - APPLICATION #: DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />: <br />PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br />2-IN DIA, PVC PIPE/ 2-IN DIA. PVC PIPE/ <br />4- IN DIA. SOIL BORING 4-IN DIA. SOIL BORING <br />--4 <br />3.71 REFILL HEIGHT REFILL HEIGHT <br />1-1 ........LiI 1 <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth <br /> Soil Type Depth <br /> Soil Type <br />Test Hole #1 Test Hole # 2