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�Q�(N SAN JOAQUIN COUNTY <br /> 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 /> 4G%FORM <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 5-C) I L ` , --r CITY: A-cc <br /> OWNER NAME: Kt-V f^f 'Ply L L I P S DATE: <0' 1 :7 <br /> APN: cc) - 3 t D -- 3 k APPLICATION#: SfZ-c-o 9-z 3/ DEPTH TO FIRST WATER: Ft <br /> SOILTYPE: �L-rt SRW ifif�T�i�P/��J <br /> REMARKS: <br /> ELOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> E F-L.........L—i—, _ a <br /> i ° —i .....s-....e_1--e.•.•-•.e.........k ` '--T- s i— .. j.__.—_.....i. F—m �—._._.•:—�—�- i I— <br /> s <br /> PERCOLATION TEST SKETCH _ i f iPERCOLATION TEST SKETCH ( i <br /> t 2"Diameter PVC Pipe s I I 2"Diameter PVC PipeLj <br /> ` <br /> C <br /> x <br /> >• gam' <br /> -6 <br /> 3 <br /> .40' <br /> _ __ <br /> -� 0.17'gravel ZZ 3 0.17'gravel <br /> 'L I 1 I <br /> � <br /> Refill Level:� 2"L—7 5_�� T I I ; I - Refill Level: 1. Z 6 �' Z` <br /> 3 <br /> SOIL PROFILE (IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> p-4•' I+ l-�1' s G( I(a-t k' <br /> sal s� 7,0 <br /> Test Hole # 1 Test Hole # 2 <br /> �P­arc­el: I Diameter: 4 in Depth: -=30-L] Parcel: I Diameter: 1� in De th:2E 3 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> x . 00 D,. �.5 <br /> x: 30 . 1Z Y,61 4-32 <br /> ct 00 y ,9 . 0B Lt5q q:-0Z 12-1117 <br /> A30 :64 � Lf , '�: 3 2-f, q'y 2-1.Z:W <br /> to .30 4 , (5- . D L{. It, . 2-6 2t, 2� <br /> 11 ,-00 LVO . 4 . " I I .0 2-(. e,17 I. Z0 <br /> l 1 "30 y . 65 • 1 51 117`32 Z I . Lf , 26 2t. Z-�-' <br /> P' 'OLATION RATE: 3,r,, 71 min/in PERCOLATION RATE: I/ .37b/ min/in <br /> Rt--JMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: (Z(I�1 36q- � � Date `S/1 <br /> TEST CERTIFIED BY: Phone: 3 Z-j - D I`t S- Date fr-I-1 - 2-0 <br /> OBSERVED BY(RENS V\ _ °�� Phone Date �)�\j 11 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />