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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 /> PERCOLATION TEST RATE c <br /> ADDRESS OR LOCATION: z-I 2-1 1 S PO CITY: ` "" ✓1 <br /> h <br /> OWNER NAME: �'C k -,"1 o� DATE: 3�1-_�112_1 <br /> APN: I --?-q I?-U - 0 3 APPLICATION M S U© S 3 g DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: JAL A' Dn2 C lei <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> E i Z t i <br /> i_.__6........M.... <br /> f <br /> PERCOLATION TEST SKETCH '; � PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe 2"Diameter PVC Pipe <br /> 3 . Zed <br /> 0.171 gravel _ 0.171 gravel <br /> 1. G 5 „ <br /> ._...__ Refill Level: `, Q 6 '_ —1 .Z 2— _... ...__... ......._Y.----.t._. Refill Level: — L.b v ......_ <br /> ­­­- Ll <br /> ' <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> p'�'3c t�. <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: I Diameter: (4 in I Depth: 3. 2-g Parcel: Diameter: L( in De the L(. 7— <br /> TIME <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> q,vo D� p6 q oo Dr — . 5 0 <br /> 6t. 30 565_0 q; 30 <br /> 10'. 00 96 . 3 ) as , 57 M y , 52 <br /> 3o 3q - 32 0I 10 ; 50 (1 . 51 .07 H. 5 2 <br /> 11 ; 00 y .3y 33 `(. 06 11'00 14. sq 107 c{ . 55 <br /> 11 , 3 ,3' 2g N. p2 1 1 .30 (4. 60 . 0 s <br /> iT':00 9, 31 '2-q `4 IZ' vo `x. 60 .06 51 <br /> ( 2 30 q. 30 . Z , v6. 30 Sj . O� L4 . 5' <br /> 1 00 4 .3 • ZLI 1; 00 4,6o <br /> P 'OLATION RATE: 10.q2_ min/in PERCOLATION RATE: �(f.C ;Z min/in <br /> Rt.,OMMENDED SEPTIC AREA, RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: CSO CO 30-037 Date 3 14f Zi <br /> TEST CERTIFIED BY: Phone: ?.o 5 30 - Date <br /> OBSERVED BY (RENS): Phone Date 5;-j 4 -24 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />