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2 7-3O IV. BC tej <br />OWNER NAME: To &IA AincLer soy, -- m.ore,‘0 Fest in. 60 Cte-S <br />APN: 0161 240 5 Li APPLICATION #: R0Q 3 37 <br />ADDRESS OR LOCATION: <br />SOIL TYPE: <br />REMARKS: <br />DEPTH TO FIRST WATER: <br />Qto_ClOt). Ottfcil o Ctiut , To k t occe., <br />C.,0,ek4 -Rjr. 1-0 e..)(44--ti P2-1- fi so Al 4c <br />CITY: <br />DATE: 3/Z. ZVZ <br />Ft <br />Lt. o <br />{ <br />3,33 <br />, <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />I . i 1 • i i ! <br /> <br />4,i 1--t--t 1 I 1 L I <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />Refill Level: --- 11- <br /> <br />I 7 PT 1T <br />0.17 gravel <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />0.17. gravel <br />Refill Level: <br />I <br />Parcel: Diameter: in Depth: <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />60 ,1 a 43 & seive 2_ re:AA ; <br />SOIL PROFILE IF REQUIRED <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />6' - 1 5 ' s;14. 4-',',,t- <br />sc,,Aol <br />Test Hole # 1 <br />Parcel: I <br /> <br />Diameter: ci in Depth: •3.5 <br />TIME READING WATER DROP REFILLED <br />IO:o0 D.- J c1.0q <br />10 .3o P.,- > , 60 <br />_ <br />1700 Dr, t-I, II <br />V.10 <br />1"-, 2-0 4,6'2)7- , (-IC 431 <br />1:30 4.5Z Jii 4,1/ <br />I -4.o <br />1 -, 51) Li. Li ct ctiO3 Li .0q <br />2---,00 4 ,55 Liel <br />F 'CLATION RATE: <br />RL,..OMMENDED SEPTIC ARE, <br />g TEST PERFORMED BY: 401P2•4-0-a " <br />TEST CERTIFIED BY: <br />OBSERVED BY (REFIS): all I ffl I. .0.1 rb7, <br />EHD 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />2—^, 10 ii-1.5-57 .q2- <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: (wq) 3 Gq - 0 3 7 5 Date <br />Phone: 2 3 - o 3-15- Date 3 - 2- 2- - 21 <br />Phone 26%cl -616 fY Date /22(Z <br />PERC TEST RATE FORM <br />min/in min/in