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pQ!?!N SAN ..JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> !X 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4LrFOR�� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: O ZED �+�� "al CITY: <br /> OWNER NAME: G;rC4 V o1A Ph k Q DATE: Zl6�2I <br /> APN: 2/"l q- Z30'i f 3 - APPLICATIION M S 0 3 � DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Gt Loot k coccr-S'L 5G,/Jr 9 tote 0e4.5 Ly,,,i,, sa4i <br /> REMARKS: <br /> 1 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ..._....� i i.__.•1.--f—l-....._.t—�-t._....-1-- i i- I i L i..........:-_.....' - - .._-�-J----1-._._�--a.._-m.___.t 1-- ---i � i 1 1 ,{ <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH I <br /> 21 Diameter PVC Pipe 2•Diameter PVC Pipe i <br /> r 2.C) <br /> - -.......... <br /> I _ <br /> ........... 3. 03 5,016 <br /> J <br /> 0.17'gravel LL. 0.17'gravel — <br /> Refill Level: /1�1� <br /> , 50 � � . 6� —! - Refill Level:........... <br /> i <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> - 3.Z' s- L <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: (S Diameter: in De the 3.7-0 Parcel: Diameter: in Dept <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> tZ� (DPit,- <br /> 1'7- <br /> 12-:50 4113 . 3z Lf •t46 <br /> 00 d 2q LI. ;7I <br /> I;ro Lf . ZZ 4,q <br /> aworx 4. z( 4 , <br /> I;30 LfO <br /> F OLATION RATE: (4, 17- min/in PERCOLATION RATE: min/in <br /> RL-vOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: (209) Date 212-619-1 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVEDBY (REHS): I ��15�.>j�kr v` Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />