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/AaUi�r. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 1 Telephone.(209)468-3420 Fax:(209)464-0138 Web:%vww.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: `� 31 V C_;-N S Yo,S I A-a C I (Z - CITY: <br /> OWNER NAME: f� J I nl DL X .J f-rftY%l 4r DATE: <br /> APN: O£s(o APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: ;Ft", <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH ! <br /> —Q <br /> 2-INDIA.PVC PIPE 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING ! ? t 4-IN DIA.SOIL BORING I <br /> 1.411 <br /> &2- <br /> J � <br /> i <br /> - <br /> _ ..... ............1.... - ... <br /> Y t <br /> REFILL I-MIGHT j L REFILL HEIGHT <br /> r - -- - <br /> _ j i I I S i i i I 1_ <br /> I <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 Depth: Parcel: Diameter: in Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> c� ;3v -pr-q. <br /> 1.2 0- .,,P-` <br /> 1z 3D v. LtX 4.1 y- <br /> z 4 0 <br /> -4. 4 1 -4, --�- <br /> I z s-o +-.43 4• c S' <br /> PERCOLATION RATE: --__?•9 min/in PERCOLATION RATE:_---___—__— minlin <br /> RECOMMENDED SEPTIC ARE ,. _ RECOMMENDED SEPTIC AREA: <br /> 'EST PERFORMED BY: _ h Phone: _ k-S-37-2-2-- _ Date i? <br /> -- - ------ — - <br /> TEST CERTIFIED BY: __ i _ _ Phone: _ ?`1-o 11 kDate <br /> OBSERVED BY (RENS): ����1 �� Phone__--_--_ Date <br /> EHD 42-03 REV 11/2109 _I ' PERC TEST RATE FORM <br />