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/A4 •.o SAN JOAQUIN COUNTY <br /> -�r- � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:,,vww.sjgov.org/ehd <br /> C P; <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: r 13 Zs W ' (r -►-► !N�' CITY: -rp- y <br /> OWNER NAME: m pv2 DATE: <br /> APN: -2-1 -2- APPLICATION DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH i ? ' PERCOLATION TEST SKETCH _ <br /> 2-IN DIA.PVC PIPE/ '-i-t 2-IN DIA.PVC PIPE/ P <br /> 4-IN DI.A.SOIL BORING i §- $ i 4-INDIA.SOIL BORINGTB. <br /> I <br /> / J <br /> 33 S <br /> , I . <br /> ! o a r <br /> - REFILL HEIGHTL 1 ! ! # 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: 4 in I Depth: 3.35 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> A5 06 DR — 3.br <br /> o. a <br /> 4-J-4; 14 .1 3.$I <br /> na .2 k 47 3.'13 <br /> :vD .I q . l <br /> -3a 3S 4,Q <br /> q sa .Atlb 3.9s <br /> 3a q.4 3 . qff 1 4.631 <br /> PERCOLATION RATE: --__q -_min/in PERCOLATION RATE: _----___—__--minlin <br /> -COMMENDED SEPTIC AREA:- _ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: ate+ Acte, Phone:la qD_ Date <br /> TEST CERTIFIED BY: _ _ Phone: 2-&1-3Z-`I_O t_y_K- Date 5_l�f -1 R_____— <br /> --- - <br /> OBSERVED BY (RENS): _— _ _ Phone__--______—_ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />