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SAN JOAQUIN COUNTY <br /> �o.� .eo <br /> • r�. ,ti 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 /> C1F0'R?� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Zd_ q4�,l CITY: Lai j <br /> OWNERNAME: b- v« DATE: d6�0�2L.zo 20 <br /> APN: �.3 - oZ`F6-oZ S APPLICATION#: DEPTH TO FITRST WATER: Ft <br /> SOIL TYPE: S'�,n� Jc 1G�Iry t ciAW1 C iC Svr�i IAC( <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _ PERCOLATION TEST SKETCH _......._ .. PERCOLATION TEST SKETCH l <br /> 2-IN DIA.PVC PIPE _' '— -- 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4-IN DI.4.SOIL BORING 9 <br /> -- i <br /> 3.3 . <br /> ........ <br /> REFILL HEIGHT i REFILL HEIGHT 3 r <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 0-7-4 2s ' S S I i s-Z'1� I u.•.c w e <br /> 2. - <br /> 0_' i ) Ss h eYc< Z`E`- - S w Si 1 <br /> i2-IS <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: y in Depth: 3,3f, Parcel: Diameter: in Depth:,?-,5-1 <br /> TIhIv.E READING WATER DROP REFILLED TIME READING (NATER DROP REFILLED <br /> // / D <br /> X31 :vo 6� b� 4, 3SLS <br /> 3b 4,0 t , v I 4.6 q•31 ,z 4,66 5'..Y a 3.? <br /> / c:,z 4L7 )0,01 4.14 , 3 073 59 <br /> lbs$b �,b7 �, Z 10:311 K.CC , `(j ,23.E 7 <br /> �-jf 1 p 4167 11 ;c1 a3. �r 7 , 3b d3. SSI <br /> 039 Lj-('1 t 1:31 _")3. �a ,2 3 z 3. �'_z <br /> 14t3f 1 arca L, b S' ,D 1 (�;b) . oa ,oZ� <br /> PERCOLATION RATE: --____D —_ —__min/in PERCOLATION RATE: _-�a <br /> _ ___—__---minlin <br /> `ECOMMENDED SEPTIC AREA:- -------- RECOMMENDED SEPTIC AREA: <br /> CST PERFORMED BY: _ t ) - ,2 A Gcd Phone: 07 V 1 3t�`1-�3 S_ 20 <br /> -��---�------- ------ Date -- <br /> TEST CERTIFIED BY: �_ <br /> � ---____-- Phone: 'Z 6 1-- 3 2Date _�-/Z <br /> OBSERVED BY (RENS): _ Phone-_----__—__—_ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />