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oA0."'� SAN JOAQUIN COUNTY <br /> ...,,el <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web:wvrw.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 23S(a3 5. fN A V? EC-A CITY: MA �cFl <br /> OWNERNAME: ANWC-TTt -v TaPD (LOPDA-)'j DATE: ' 11 -I T <br /> APN: Z�- //V ` t 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 <br /> i s ! PERCOLATION TEST SKETCH j_ <br /> >--¢ <br /> 2—IN DIA.PVC PIPE a 2—L2NT DIA.PVC PIPE/ <br /> 4—LINT DLk.SOIL BORING �— Z. 4—IN DIA.SOIL BORD TG <br /> j.5 <br /> 1--t—L. -_ <br /> I <br /> '. I. <br /> ........ .... — <br /> . • s <br /> REFILL HEIGHT D �......_..�._ REFILL HEIGHT G @ <br /> .-�. ... <br /> _ <br /> �. i I <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: 1 Diameter in I Depth: 3 Parcel; i Diameter: q in I Depth: 3. <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> `U �� ^ �l - 14 .2 3 <br /> 7 .3 Y3 // :x <br /> j Cv �i x.73 3 <br /> ;113 .4 <br /> PERCOLATION RATE: — i minfin PERCOLATION RATE:— s - —___--_minlin <br /> 'COMMENDED SEPTIC AREA:--__----__ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY- 10,A '` —__—__ Phone: Date <br /> TEST CERTIFIED BY: _ �� _ Phone: Z� 3Z`t- of 9 Date <br /> --------- / — ------ <br /> OBSERVED BY (RENS): "`' � Phone �t'yc�!_ C [ _ Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />