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�GAU.y. 5AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:t209)464-013$ Web:www.sjgov.orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: O CITY: L 1" �e6 5 tta <br /> OWNER NAME: DATE: L1Z� <br /> APN: 0 3 APPLICATION#: D 2 DEPTH TO FIRST WATER. Ft <br /> SOIL TYPE: t C. SMA <br /> REMARKS: <br /> LOCATION OF TEST HOLES {SHOW WELLS AND STRUCTURES} <br /> I --.-1 A .... .... <br /> S _ PE RCOLATI ON TEST SKET 1;H PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pip,? 2"Diameter PVC Pipe _ <br /> 2 6� <br /> .35 500� <br /> _ _. <br /> Refill Level: + [ U ! Refill Level: , <br /> a _— <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> .................. <br /> 0 -2-•SZ` 5IG F-i ' -T/r+vb� <br /> Test Hole# 1 Test Hole #2 <br /> Parcel: Diameter: t4 in Qe thez �1P­arcW1-.___1 Diameter: in Depth: <br /> I <br /> TIME REAPING WATER❑ROP REFILLED TIME READING WATER DROP REFILLED <br /> :D0 r <br /> I0.30 7. 5 g <br /> 1100 Lf. S q. qz <br /> ................ <br /> I 1 . .$3 S� <br /> I VOD tC1 _ <br /> 12:30 .-+q; 3 mq __� <br /> r :0a - 30 �. <br /> 3a 3 5 <br /> ?_11 00 - 7- .3z �-- <br /> PERCOLATION RATE: .g minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:(T,�Q�) 30-033-s Date Lj 26 <br /> TEST CERTIFIED BY: Phone: Zo ei _�U`l- 5— Date •--f -13 -2.I:o <br /> OBSERVED BY(REHS): Phone r (- (v f��]iy Date <br /> E H D 42-03 REV 11009 PERC TEST RATE FORM <br />