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oP4Li'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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I SG}D ,rJ , GLA S S C O(-iL 12-t:>• CITY: LU17 1 <br /> OWNER NAME: (Zy OOA"r n3 DATE: 1 h,I <br /> APN: b Z s - 3 oz) ' G`f �I"- LI <br /> APPLICATION#: S t?Q25 33!`-1 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: ��o e- y,,c,c K t►^ u e-k <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> 1...........{_....._ ___ __• <br /> PERCOLATION TEST SKETCH I I I I PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe j a € s 2°Diameter PVC Pipe I <br /> 3.00 FT <br /> a <br /> ...........� <br /> t ' ,.••.•' 0.17'gravel 0.171 gravel ......._ <br /> Refill Level: t� Ll V I I � 1 Refill Level: <br /> — 1�. .....,.........6 <br /> i <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> I•�- 3.1�' <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: I Diameter: L( in I Depth: 3,11. Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> q:No D"L, y.YZ- <br /> 3 0 `d . 36 L4 .0 <br /> fok-ou 33 9 . 5q <br /> 10,130 `f 2-G- (4.59 <br /> 1I : oo y .114 26 4. 5 <br /> 11 3v q ,4q 7,5 .5 5 <br /> I Z-O0 9 .1N 4.5" <br /> 12;30 Ll,13 . 31 L4 y`d <br /> I vo W. I 21 <br /> F :OLATION RATE: 10.c7 min/in PERCOLATION RATE: min/in <br /> RL,,OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:rS6!q 3(gq-037S Date 31I1Z1 <br /> TEST CERTIFIED BY: Phone: Zo 9 3( 9- 0-3-S Date <br /> OBSERVED BY (RENS): Phone 21:,5k 6�l ?L\ci Date 3 I Z1 <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />