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Hai :1 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />�.. ' 600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: I i E TT 26 CITY: <br />OWNER NAME: w ?�' DATE: <br />APN: �Sf �O"� APPLICATION #:.5r f DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />G /C, <br />3'- S c/au, SQ <br />Test Hole # 1 <br />Parcel: Diameter: in IDepth: in <br />TIME <br />READING <br />WATER DROP REFILLED <br />REFILLED <br />ID <br />lob <br />mom <br />11 35 <br />C,v <br />0/! <br />11 <br />I nv <br />I <br />C;° <br />t ' 3v <br />8.0 " <br />o•o'" <br />■■a�iy <br />7. <br />Z' <br />1. <br />7 p„ <br />J„ <br />2•oj' <br />. 11 ,, <br />mom <br />ME <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />G /C, <br />3'- S c/au, SQ <br />Test Hole # 1 <br />Parcel: Diameter: in IDepth: in <br />TIME <br />READING <br />WATER DROP REFILLED <br />REFILLED <br />ID <br />lob <br />/'S <br />11 35 <br />C,v <br />0/! <br />11 <br />I nv <br />I <br />C;° <br />t ' 3v <br />8.0 " <br />o•o'" <br />_ <br />7. <br />Z' <br />1. <br />'ERCOLATION RATE:_ min/in <br />;ECOMMENDED SEPTIC AREA: <br />EST PERFORMED BY: ti Q -0u, 1.) <br />'EST CERTIFIED BY: 1 <br />)BSERVED BY (RENS): Y� lLGLuv <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />ID <br />lob <br />/'S <br />11 35 <br />C,v <br />0/! <br />11 <br />7. <br />1. <br />7 p„ <br />J„ <br />2•oj' <br />. 11 ,, <br />PERCOLATION RATE: r-�f L.- min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: <br />Phone: <br />Phone <br />Date 1 i <br />Date <br />Date <br />riD 42-03 PERC TEST RATE FORM <br />9/04 <br />