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oa4�'7� <br /> SAN JOAQUIN COUNTY <br /> o� 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 /> ADDRESSOR LOCATION: 2S -12-*3 S• S .0 VE. CITY: <br /> OWNER NAME: bRVInJV>=fZ S:Itj6 A DATE: l; ►1' yo <br /> APN: 21{O - 130-01 APPLICATION#: '512-0087-1-)9 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: S'r�Y11hlZLZPttl1h¢1/}S CLPty LDA-,-1 <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH I I PERCOLATION TEST SKETCH <br /> t <br /> { <br /> 2-INDIA.PVC PIPE' I 2-L\DIA.PVC PIPE' _•-- <br /> I <br /> 4-IN DL4.SOIL BORING 1 3-INDIA.SOIL BORNvG <br /> T— t' <br /> 1.6 <br /> 3.zf ' <br /> REFILL.HEIGHT REFILL REFILL MGH T j <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type I Depth Soil Type Depth Soil Type Depth I Soil Type Depth Soil Type <br /> i -Z' S� I c1 <br /> Z' -122' <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: I Diameter: 4 in I Depth: 3.z.!� Parcel: Diameter: in I Depth: <br /> TwE REAcmG WATERDROp REFILLED Ti FA- REAcu:; VJATE:zDROP <br /> f C 07; <. c 1 I^, 1 `.P.SI <br /> 11130 14 3 L . � �► �� <br /> 17 cD 4 Gl 2 O.4 Iv '-�•SS <br /> Iz 30 4 . a.+3 4 (P <br /> i CD <br /> PERCOLATION RATE: Cv 1 �___min/in PERCOLATION RATE: ____mien <br /> RECOMMENDED SEPTIC AR _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: __ Phone: >(.S- -3 L2 Z _ Date <br /> TEST CERTIFIED BY: _ _ Phone: 3yy -01 _ Date _jg=11=2-0 _ <br /> OBSERVED BY (RENS): y�w1,i ��I,t�Vt. __ Phone_ _ Date bhl I-)D <br /> EHD 42-03 REV 11,2M9 PERC TEST RATE FORM <br />