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Pq,,,,,1 SAN JOAQUIN COUNTY <br /> '�+' c°� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> ``4�rFOR�'P PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:: ` ' lU � - ` r N CITY` Ac-rA°O <br /> OWNER NAME: Dib°ra^, "Grp&L^ DATE: q /I <br /> APN: Q 21 — 0-5 0 APPLICATION#: SR0 0 Z5Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: t S 17 <br /> REMARKS: 4 0 iReZ I II <br /> 6�'e. GQUYt� S 1✓ S` r <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _ PERCOLATION TEST SKETCH <br /> -- I <br /> 2"Diameter PVC Pipe 2"Diameter PVC Pipe i <br /> �- <br /> I <br /> - fiO3 _ I <br /> Iw- <br /> L_j0.17'gravel v��y 0.171 gravel <br /> . Refill Level: <br /> Refill Level. <br /> SOIL PROFILE(IF REQUIRED) <br /> oe Soil Type <br /> Depth Soil T e D�ell <br /> Soil T e De tSoil T e De SDept <br /> 3 <br /> - 22-3sl s <br /> w <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel: I Diameter: 12 in I Depth: .5 Parcel: i Diameter: IZ in I De th�01 <br /> EREADING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> TIME: E 44.2-1 — q`03 23.58 — L#"6 <br /> 15.5 loaf r .�I 6, 15 <br /> fO. 00 Z4 -�' 10••03 6, 65 1. 50 `ISO <br /> � .-�o I z4 [0".33 I 5-. l.� �E •�b <br /> I1 : vo 2 II ;U3 b , ! ( l . 21 T5% 7 <br /> 11 '. 30 41.2 1 ( .33 6, Z1 1 . 06 z.:a0 .2� 1 31. Iv <br /> .05 S,Jq <br /> 103 6.r kR <br /> PERCOLATION RATE: min/in PERCOLATION RATE: Z• 3 min/in <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: (wq) 361-03�5 Date ! ZU <br /> TESTC-RTIFIED BY: ' IL Phone: 32q -ol5k Date <br /> OBSERVED BY (RENS): -: Phone Date /� r� .�v <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 11/2109 ' <br />