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oPau!>r. 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.orglehd <br /> p <br /> ncr/ <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: I✓ ' rAIrt-T0N CITY: rM KTtGfC <br /> OWNER NAME: Im ptTT N Eyo NCr DATE: 5' _/ -/ `I <br /> APN: ZS 1 - ZZ© -31 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _I PERCOLATION TEST SKETCH __ ! PERCOLATION TEST SKETCH } <br /> 2-IN DIA.PVC PIPE/ -1...-........— --! <br /> 2-INDIA.PVC PIPE/ 9 <br /> 4-IN DLA..SOIL BORING 4-IINr DIA.SOIL BORING <br /> -I- A <br /> �.� <br /> (I <br /> _L UZU _L <br /> f • i [ <br /> i <br /> -. <br /> REFILL HEIGHT �j— k REFILL HEIGHT <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 I Depth: 3.i 0 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> k, <br /> �cOR. <br /> 1�ob <br /> 1:4L) q'l 3 14./o <br /> r.3,0 4-31.' 4.61, <br /> -i:3b 4-3 <br /> r=qD Lf.3 3 <br /> 1:5'0 14TY- <br /> 4,3s <br /> 3 <br /> ' .3 . 1 <br /> PERCOLATION RATE: 7min/in PERCOLATION RATE: min/in <br /> -1ECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ZST PERFORMED BY: __G �'_� � O Phone: `1_6 o.S=3 yc,' Date _— <br /> TEST CERTIFIED BY: _ Phone: `7�?�t or`Z Date <br /> OBSERVED BY (REHS): Phone2-L-)c Date S, <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />