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'oaqu r,N,,.co <br />�gC1'F� P <br />ADDRESS OR LOCATION: _ <br />OWNER NAME: r r 066 <br />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 />APN:OO�" 340 O� APPLICATION #: S Lf <br />SOIL TYPE: S JOWI O Aa is 12 101AVA. G 'SL-jr- <br />REMARKS: L <br />REMARKS: <br />CITY: AGA^t O <br />DATE: I ( (!9 A II <br />DEPTH TO FIRST WATER: Ft <br />LV%.H I IVIV Vr 1 CJ 1 rIVLr-0 IJMVVV 11VtLLJ ANU J I KUG I UKtJ <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />?—. -;Ir k I f — <br />2.34' S_0 51 <br />+ • 1 <br />2.51' <br />�0.17' gravel <br />Refill Level: ` • , 6 J Q <br />SMI PP()FII F fiF RFCIl ilpr II <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />. .......... ...... ..._ <br />. I •� <br />.._.......... .._ — <br />Refill Level: • • O ` 14- <br />avel <br />q. C Z.I <br />Test Hole # 1 Test Hole # 2 <br />Parcel: Diameter: in De the 2.S ' Parcel: 3 Diameter: in I Depth: -Z. <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />{ . oS <br />0ey <br />4.3q <br />1 o: 35 <br />Zf <br />� I14. <br />S <br />ll:05 <br />4.5 <br />•1-l( <br />11.qj <br />I13T <br />.$ <br />4 <br />.0 57 <br />Lf .C18 <br />.3f <br />14. 3 <br />l 2 : s <br />�! • <br />. 36 <br />q- q{ <br />I:os <br />�{. g <br />.2 <br />•u <br />(:I; <br />q. q1 <br />•3 <br />51 <br />F ,OLATION RATE:�Z6Z6 min/in <br />K_-OMMENDED SEPTIC A A: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />lO:Oa <br />0ey <br />({.07 <br />l0:30 <br />(4-566 <br />.Y9 <br />x•10 <br />11:00 <br />4.5 <br />•1-l( <br />Is <br />11: <br />L(. <br />(4.07 <br />17-'.00 <br />Lf .C18 <br />((.0 <br />(V 30 <br />Li. q6 <br />.3$ <br />`I•017- <br />5"I:0o <br />1:00 <br />K 1 <br />36 <br />4.00 <br />1,30 <br />q <br />PERCOLATION RATE: 5• F min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone:(Z0��3bq-03034SDateII/1�tI <br />Phone: 20 )�31�9- o�� S Date I - ► 9 - Z 1 <br />Phone�2�/ ('c(��- 3�� z Date <br />PERC TEST RATE FORM <br />