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PQ�IN. SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />.y <br />w. <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�•� <I F p R��P <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: SEC of Escalon-Bellota & Elm CITY: Farmington <br />OWNER NAME: Gloria Cullen DATE: a /Z 1/2 2 <br />APN: 187-120-26 } - 7-4 APPLICATION #: SR Ons 5 �S I DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: Archerdale clay loam <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />..........t.....i......' .._.. �--�- 1 1—� -� ...._t i ....i—i•••••.•• 1—i—d•••••••.�—I--�- i <br />PERCOLATION TEST SKETCH_.. .. PERCOLATION TEST SKETCH �_ <br />2" Diameter PVC Pipe I = % 2" Diameter PVC Plpe <br />.......... 2.5 ..................... <br />L) <br />it 11.... ...... ........ TR.3Z 10.00I- <br />z.o� 4.6I — <br />2 .2 3 ........ _ <br />_ _ <br />JA 0.17' gravel 0.17' gravel __., _ € <br />v....__... Refill Level: l . 0 J — L1. I q - Refill Level: 1— <br />y <br />I 2- .J V <br />' L <br />_... ...... <br />{ ... _ .. _. _ <br />TTI r <br />SOIL PROFILE IIF REQUIREDI <br />Test Hole # 1 <br />Parcel: Diameter: Lf in Depth: Z . Z <br />PERCOLATION RATE: ''3.3 3 min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: or <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: R. <br />TIME <br />I W1 <br />WATER DROP <br />REFILLED <br />9.00 <br />17r <br />.3Z <br />:30 <br />a.Klcf <br />9.39 <br />• • <br />� is <br />r <br />11.319 <br />• • <br />Sim <br />� <br />r <br />11:00 <br />C4. S <br />. I '�- <br />q. <br />11.30 <br />�a <br />.l <br />Q.q3 <br />IZ:oo <br />q. <br />t3 <br />Ci.yl <br />12".'S0 <br />q. SS <br />jq <br />L10 <br />�- <br />PERCOLATION RATE: ''3.3 3 min/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: or <br />OBSERVED BY (RENS): <br />EHD 42-03 REV 11/2/09 <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: R. <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />9.00 <br />17r <br />.3Z <br />:30 <br />a.Klcf <br />9.39 <br />10:00 <br />Ct S <br />.146 <br />11.319 <br />10:30 <br />q 5-q <br />16 <br />q.7 <br />11:00 <br />C4. S <br />. I '�- <br />q. <br />11.30 <br />R 53 <br />.l <br />Q.q3 <br />IZ:oo <br />q. <br />t3 <br />Ci.yl <br />12".'S0 <br />q. SS <br />jq <br />L10 <br />�- <br />PERCOLATION RATE: I min/in <br />RECOM ENDED SEPTIC AREA: <br />Phone: "o 3(,,q -v 3 �-SDate Q Z I Z Z <br />Phone: (r�_2oq 31vH-o3-)S Date <br />Phone W�� Date <br />Q �p�L PERC TEST RATE FORM <br />