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SAN JOAQUIN COUNTY <br /> ��' '�-r• i ENVIRONMENTAL HEALTH DEPARTMENT <br /> (y x' 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ,i6w PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: II4t`TTL•EMAAJ L^J CITY: L-OD { <br /> OWNERNAME: i3yj6l- ccC +I DATE: 4 -i5'-jq <br /> APN: d 5-3 - 09-0 - Z L APPLICATION#: PA I ��Z D DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> t r t <br /> PERCOLATION TEST SKETCH R PERCOLATION TEST SKETCH — <br /> 2-IN DIA.PVC PIPE/ ..... "—F <br /> 2-IN DIA.PVC PIPE/ <br /> 4-IN DLA.SOIL BORING I t } 4-INDIA.SOIL BORING <br /> r� <br /> �-5 a <br /> t <br /> 1 R 3 9 <br /> jj <br /> REFILL HEIGHTS REFILL HEIGHT a <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: 1 Diameter, :4 in I Depth: .3 t✓6 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3C - •3. `1 S- <br /> I',:Sb g4,-2-1 3 .3. 7(u <br /> 1 =�'C +•�.•�S1 . 5 � 3 �� . <br /> -(. 3 �L <br /> l 3� 3 4-, z c� <br /> PERCOLATION RATE: _ /� minlin PERCOLATION RATE:_ minlin <br /> RECOMMENDED SEPTIC AREA:— RECOMMENDED SEPTIC AREA: <br /> �6 <br /> 'EST PERFORMED BY: ;` `t `'' --- Phone: ���=( C �-?J J Date <br /> i EST CERTIFIED BY: __ Phone: T°`1 =?2 _016i S- Date �-i -1`Z____, <br /> L4 I-q <br /> OBSERVED BY (REHS): _ PhoneDate _ <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />