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ooa:�"f, SAN JOAQUIN COUNTY <br /> -�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1":A" 600 East Main Street, Stockton, CA 95202-3029 <br /> , Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> N�1FORa` <br /> � [ ^� A/ /,P_ERCOLALTION TEST RATE <br /> ADDRESS OR LOCATION: `1 3 1 '`� A} yVlgy ST CITY: <br /> OWNERNAME /Li e, Gu.So,5 DATE: �! I Z SO <br /> APN: O pa?" 13 0 - 4L APPLICATION#: IS 1 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Ga-L.- ClG c� <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _ .__._.. g PERCOLATION TEST SKETCH _ <br /> .......- ... ........... ° A <br /> 2-IN DIA.PVC PIPE/ (� 2-IN DIA.PVC PIPE/ <br /> y 4-IN DI.A.SOIL BORING ' 1 3 ���\^ 4-IN DI.A.SOIL BORING t F <br /> IBIE <br /> ........... <br /> S 5 <br /> 5f• : 15 3 <br /> 7 <br /> -�........... <br /> f L(.Z ;- <br /> REFILL HEIGHT Y' b REFILL HEIGHT <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 5.25 C- -r s s<e <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: I Diameter: in I Depth: 3,341 Parcel: 16Diameter; Ij in I Depth: i ,I66 <br /> TIME READ:NG WATER DROP REFILLED TIME READING WATER DRO° REFILLED <br /> .UD P/- f .6S 4,102. Pr r?AG <br /> 0 q1 0 ,t5 K_ `-52 fLt, - • . 2I 13.x6 <br /> :00 q,q,D C4 . C4 ,0 2- , Iq 2 <br /> n `-4 .`4I 63 U•.3Z W3.ql . 1i� 13.4 <br /> 10'as _._ -��_.-- 6 .�` ---- !U oz - t`141 - -- aS --- <br /> 10 Ll. n -3 2- 1`(-Oq 10 13.°12. <br /> 11 ,100 q ,_:� . 0 0 z ( .D3 (.:Oq-,) <br /> 11 : 3b �{ .6 05 i6, 32 13. ' <br /> PERCOLATION RATE: 6,,� S___-min/in PERCOLATION RATE: 2 . _---minlin <br /> COMMENDED SEPTIC A A: _ RECOMMEN ED SEPTIC AREA: <br /> EST PERFORMED BY: _ _ _ __—_ Phone: _ �o�-aDate <br /> TEST CERTIFIED BY: Phone: Date _I? - Z O <br /> OBSERVED BY (REHS): _____—__ Phone__—__—_______ Date 3� <br /> 12,11-211 <br /> EHD 7 <br /> 42-03 REV 1112/09 PERC TEST RATE FORM <br />