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opa�!k. 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 /> C'r,4C1.�o¢a�P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 7- w o a., Kz CITY: r ^cl C&/k t 1 62 <br /> OWNER NAME: �a Se1'A0, 2 DATE: I G Zl <br /> APN: 1� 3, / Z60 ` tq APPLICATION#: -�m U0f3 2A DB DEPTH TO FIRST WATER: Ft <br /> V <br /> SOIL TYPE: e-.-I s Yr2 SGyL6� �li <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> ..........f—l-_....�.. F—i -g.-...4-1_.....�....... <br /> —...........—'_s........._--�— — <br /> PERCOLATION TEST SKETCH _,,,,,,,, ,,,,_,,,,, 1 1._ PERCOLATION TEST SKETCH I <br /> 2"Diameter PVC Pipe i i F 2"Diameter PVC Pipe I <br /> I <br /> 52-1 <br /> 2 <br /> .......... <br /> _......- 3.00 i <br /> _ _._.... <br /> 0.17'gravel 10.17'gravel <br /> a I <br /> Refill Level: —1 r0 2— }� __ _ '__.... Refill Level: <br /> ir 71 � I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth,,, Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Lj in I Depth: 3.1 Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 12_,b0 r q• 5q <br /> 12 ;3o <br /> 3:00 Dr — q•6`� <br /> -3-, 30 6 19 <br /> 3:uo `l.'t15 <br /> 6 ?� <br /> F ,OLATION RATE: min/in PERCOLATION RATE: min/in <br /> Rtt,.OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: fi Phone: CX�) 36 1-0 37 5' Date 2/1r'/Z( <br /> TEST CERTIFIED BY: Phone: 3c,9 -o3-)�_ Date <br /> OBSERVED BY (RENS): Phone Date -2 zv <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />