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op4U!N, C SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> LO !X 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4�+FORS <br /> PERCOLATION'vri ( � TEST RATE l-- <br /> ADDRESS OR LOCATION: 26 5 N 1 ` f`+� CITY: "TC7 <br /> OWNER NAME: L c,Z mcv-j,-rA DATE: g�Z6 Zo <br /> APN: 00 1 - O Lio- APPLICATION#: S tZC9�S�Z�(g5 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: 50.. d0 S 10e4^' a�Ctin <br /> REMARKS: S L, JA rJJ L <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> } ; ? <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe 1 i 2"Diameter PUC Pipe <br /> u �� I € _ <br /> - - <br /> 0.17'gravel 0.17'gravel _ <br /> Refill Level: —L.0 I ` —}——p Refill Level: — <br /> i I t # 3 <br /> . — .. _ .__._: . <br /> a <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hale # 1 Test Hale <br /> # 2 <br /> Parcel: j Diameter: q in I Depth: 3.LtZ Parcel: Diameter: in I Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> �.0 b, x-1 .0 57 <br /> 3o D� 6 <br /> z:00 �' UN <br /> [Z; ro 4'?'$ ,ZY x ,06 <br /> ►2� w �t, I . I5 K, o� <br /> 12 o I.2Z . 1 u •U 1( <br /> ( -7-" 5b '1, 7,4 , IR q, l <br /> I ; 00 (4,31 <br /> f IOLATION RATE: 5.5_6 min/in PERCOLATION RATE: min/in <br /> R__OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: ZV'l 36q 07--5 Date `b/z,66026 <br /> TEST CERTIFIED BY: Phone: 32 R -0111-k Date L,ta -Lo <br /> OBSERVED BY (REHS): - Phone Date Z_6 2 �0 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />