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o�a�1t� SAN JOAQUIN COUNTY <br /> �:•.r.rlr�••.o <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: ZS-?Zls Al FL)H-9-M A N ,,D • CITY: <br /> OWNER NAME: V IWIETL At-6-C(_ SI L\,f R DATE: S/ZZ <br /> APN: 02-1 - 03C -3 S APPLICATION#:J512DO 0 -t LL�ClZ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: R,��..efla sa.�dv �Olx.�, �n.ov at S(,.�S+r Ci l„yy fixe-+ems' S-oy"j 1 I OIQ,-% <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> _, _-i---....i t ! L L__i t- ,-.......ate A t+.__.-i-- _ _.__ �.� -y......_._t 1-.--1._._....��..._..._i .-1--1-{-�--i-• <br /> PERCOLATION TEST SKETCH _ PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe 2"Diameter PVC Pipe <br /> •. <br /> 0.17'gravel 0.77'gravel <br /> b <br /> ..... Refill Level: 3•—(3 q,0q Refill Level: <br /> -- --.. ...... ........... ...... ........ __.. _.__ .._ �, - � - - .. <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> o •S <br /> 2.01 <br /> Test Hole # 1 Test Hole # 2 <br /> Parcel: I Diameter: in Depth: 2, Parcel: Diameter: in De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> I :00 ! 3.q <br /> 0 4.0 . 15" <br /> 11 :00 .01 . 1 .as <br /> 11 :30 L(.0 4 'Oct <br /> 12:00 C4 . 03 . 10 3 <br /> I Z:30 � . D 1 . 10 3.q Z <br /> 1 : 0 . 07- . 10 3.,%Cf <br /> 1 : 30 j 3. . 10 3.� <br /> 7-"Oc) 3 .91T , I I ----- --- <br /> PERCOLATION RATE: Z . Z min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTICARE RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:(2p930-03-� S Date 5 y2 <br /> TEST CERTIFIED BY: Phone: 2 o i 3611-03-1 Date <br /> OBSERVED BY (REHS): litvj_0% `'Alli_ Phonei2*q� IOky' 3a%-L Date S� <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />