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oPQ�"v. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: a <br /> t0; ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> gZ1FORa` <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I Z`'(�'F� 4- 12-13 Cp t--44100 LJ L1%J CITY: up k <br /> OWNER NAME: K NNE i1� 14`� �il��D DATE: W zldm <br /> APN: 0(o3­ 2-40-Z�- AP�P/LICA)TION M S(Z009 3(l7 Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: S&I j 0m.(.,?✓1 I&AAA7. n;c_ f SL-r4oL a- <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> ...........---T 1..........i........ ...........1,..—i...........i-.._..• ' � <br /> _ ' , ...........—.........._ <br /> PERCOLATION TEST SKETCH —L—�.••-•-1-1—• i <br /> PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe a 2"Diameter PVC Pipe i <br /> It <br /> ............ <br /> ICI.I� I a"s <br /> -3.33 <br /> a- I — <br /> { j •'••` 0.1 T gravel I a 0.17'gravel 1 <br /> l.1 •� (�I , <br /> ` �...... <br /> Refill Level: 63 Refill Level: <br /> ......... — <br /> ._. <br /> ........_. <br /> ....... <br /> _. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> clI Z s I4 -Iq �L. <br /> Cowl?, s 17 t,d S �7 <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel: Diameter: I Z in Dept 3. Parcel: ( Diameter: ! in I Depth: ( .3q <br /> TIME READINGWATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> GI:�o u, 66 53 a.(.)z D.- (a.119 <br /> G ."'.3 0 Ll .S3 •0 0 P 2- D, <br /> — <br /> 10:30 y.5y vl I7-:00 <br /> 11 . 00 ILI Sit .00 ICI, Z"5' <br /> —11 ' 30 y .5u oo 1q,60 <br /> rZ; oo U ,5y . 00 12.3v 3`I <br /> I2- : 3o E , 5S •01 IZ:4v I .� 3�j Iq , 33 <br /> 4 3 <br /> F OLATION RATE: 2 So min/in PERCOLATION RATE: min/in <br /> R—OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: '', t-c�,9 Phone: (WO ) 36q -0345 Date !(Z T,D Z <br /> TEST CERTIFIED BY: Phone: Loci 3191-03-79 Date `/-�-z <br /> OBSERVED BY(RENS): Phone Date A <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />