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� 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.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2-91 L� S ' f�YyN �� CITY: <br /> OWNER NAME: GA'.1 T v n A DATE: Z -I - <br /> APN: 2 _ OZO - 14 APPLICATION#: S��'� I�1�� DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: C'tkP2E� C-L" r U��N> S C r_^-�.j l�D Prv' <br /> REMARKS: L LycprT 1JEX•T TD -TF T TI'T -} <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> :.......:_...............:...... <br /> i ! I I PERCOLATION TEST SKETCH <br /> PERCOLATION TEST SKETCH y <br /> _....__ 2-IN DIA.PVC PIPE -� --k- i 2-IN DIA.PVC PIPE/ <br /> 4-N DIA.SOIL BORING 4-IN DI.A.SOIL BORING <br /> i i <br /> R I Co a,rz-( i k <br /> L=_j I <br /> -- <br /> REFILL HEIGHT ; t E REFILL HEIGHT <br /> SOIL PROFILE IIF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> PL D-tq" 5<< <br /> W-31 <br /> Test Hole# 1 Test Hole# 2 <br /> Diameter: 4in Depth: 3 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READ'NG WATER DROP REFILLED <br /> ;3z 44rj 1 o,3z 4.Li I <br /> LO -vZ •('S 024 14-42-- <br /> 0 .-2--2- <br /> -2,-f <br /> _4Z <br /> lo:3a red 0 •-2-2 �f <br /> z-F - <br /> (•.3z Ct.te z- 0 , 11 y.3S <br /> 12:x2 lq.S(v 6. 21 <br /> tz=3z y-.6te o. 1 4Zf� � <br /> 1 :�Z 14.(0DIS `` <br /> 3 <br /> PERCOLATION RATE: --__ t 1 8� min/in PERCOLATION RATE:_----___—__---minlin <br /> •ECOMMENDED SEPTIC ARF+__ —__—_— RECOMMENDED SEPTIC AREA: _----__---_—_ <br /> EST PERFORMED BY: Phone: _�(6_ =3ZZ2 Date <br /> --- <br /> TEST CERTIFIED BY: Phone: 2`! -DI q g' Date 2- 19 - 7-0 <br /> --- -------- Phone------------- Date 2--(-y ---- <br /> _ ) <br /> OBSERVED BY (RENS): _ —__=_ <br /> EHD 42-03 REV 11009 PERC TEST RATE FORM <br />