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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y 600 East Main Street, Stockton, CA 95202-3029 <br /> ! Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> '4L1FOR� <br /> PERCOLATION TEST RATE / <br /> ADDRESS OR LOCATION: <br /> �(7�3 �, A-` -i L f- L-N CITY: 5 i bCy-001' <br /> OWNERNAME: 0,,Lc- DATE: 4-gq - /9 <br /> APN: b G ` b 7o -1,;L APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLSAND STRUCTURES) <br /> .......... ..., _..,............._... <br /> PERCOLATION TEST SKETCH I PERCOLATION TEST SKETCH { <br /> 2-IN DIA.PVC PIPE/ i ! fLj�5 2-IN DIA.PVC PIPE/ <br /> 4-IN DI.A.SOIL BORING 4-IN DIA.SOIL BORING <br /> r a <br /> REFILL HEIGHT _. k. REFILL HEIGHT <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: I Parcel: / Diameter: q in I Depth: ,3.3,2, <br /> TIME READING WATER.DROP REFILLED TIME READING WATER DROP REFILLED <br /> 9:6o '*r1 bk — 3, 174 x:6.3 imy 3-Y1 <br /> : 3•54) X1.33 3.60 09 3.11 <br /> 9.00 3. J , rS 3,46 <br /> 9:30 3.5 1 . c?oL . 9 9.33 3.34 , 06( 3,3=1 <br /> 3.63 D q 3 . 30 lD D3 3,39 6 ! 3.39 <br /> x;30 3, 3,3 0 9 3, 30 t o.33 3,q 9 = o -4.4 S' <br /> :Oo 3,46 = 16 3, ;r:U3 3.69 ,al 3,6 <br /> //-3a 3.<d- . 66 3,34 11.33 ;7 1 f 0� 3. . <br /> PERCOLATION RATE: --0 min/in PERCOLATION RATE:_--I_� —_—_ ---minlin <br /> 'ECOMMENDED SEPTIC AREA: ---------- RECOMMENDED SEPTIC AREA: ----__—__--_ <br /> CST PERFORMED BY: _-1 Ae _ Phone: 4o`L- 60?-,-,?!8'6_ Date 4"�`F=� <br /> TEST CERTIFIED BY: _ ,� Phone: 2a L-L°,- 61 G_ Date <br /> OBSERVED BY (RENS): _ — tPhone_---- Date <br /> EHD 42-03 REV 11/2109 PERC TEST RATE FORM <br />