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n• SAN JOAQUIN COUNTY <br /> c• 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: D -�-� ?� CITY ON ki-Mc A <br /> OWNER NAME: /M A-T"T I'�w fJ C- DATE: <br /> APN: %> - - APPLICATION# DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH I <br /> 2-IN DIA.PVC PIPE, i 2-LN DIA.PVC PIPE/ <br /> J-TN DLA.SOIL BORING ! I IN DIA.SOII.BORING <br /> 5'.c3' i <br /> LLJ <br /> REFILL HEIGHT 5 �' (4.44 -4.u t REFILL HEIGHT <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> c -2 a w SSI <br /> 2- 3.3.4' (- <br /> Test Hole # 1 Test Hole # 2 <br /> ?arcel: I Diameter: in I Depth: 3 54 ' 1 1 Parcel: Diameter, 71 1 Depth <br /> _ Tiv= READINC WATERDRoP Tire= READING WATER DROP REFILL <br /> g' o o D2 <br /> 50 r, 7 aSo 4 2— <br /> C-0 14.99 0•5'6 .L+b <br /> - <br /> Or : 5c) If.9 9 0.53 -+. q'k <br /> 10:0v Af.111 01411 4/. S_1 - <br /> 1630 x �.01 d.5" - �}.SI - <br /> 11'.6-D 5 . 00 0. + 4-5 ) _ <br /> I1:36 S.c I p.So L,I•S 1 <br /> IZ:op .Di h•SC7 <br /> PERCOLATION RATE: 15 . 10 minlin PERCOLATION RATE: _ min/in <br /> RECOMMENDED SEPTIC A _ _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: _� L _ Phone: 3�S-_3Zz Z _ Date (0 <br /> TEST CERTIFIED BY: _ _____ _ Phone: Zh -01 y_�_ Date AC_I 9'7.0 <br /> OBSERVED BY (RENS): ______ Phone _ Date 9a <br /> LIU 42-03 RLV 110109 PERC TEST RATL FORM <br />