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ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />PERCOLATION TEST RATE <br />L1LLKH% 0'1 r ;- fr t/ 'v CITY: <br />ADDRESS OR LOCATION:% � <br />OWNER NAME: �1- I - ^ �- r} •.1' }-t - DATE: — a . e n- <br />APN' <br />St -,.17- -C- 7 APPLICATION 0: rT � - :.2."s DEPTH TO FIRST WATER: Ft <br />SOIL TYPE <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />PERCOLATION TEST SKETCH r PERCOLATION TEST SKETCH <br />Z 2 -IN DIA. PVC PIPE' i__; i _J, 2 -IN DLT. PVC PIPE, <br />4- L4 DLA. SOD, BORING 4- INDIA. SOIL BORING <br />I I' <br />Fn.I.HElc;l1T' 3. REFILLHF..IGtir <br />Test Hole # 1 Test Hole # 2 <br />Panel: Diameter: in Depth: 3 3 3 Parcel: Diameter: in Depth: <br />TIME <br />READING <br />WATERDROP <br />REFILLED <br />g iG <br />�•I2 <br />0 <br />3.Y <br />s:yn <br />�•I" <br />7 <br />3 �4 <br />i��/D <br />�•Ib <br />, 3 b' <br />3.1 <br />PERCOLATION RATE: _ �— "Fula �"'"""'• ". _ — ---- <br />RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: —_—_— <br />TEST PERFORMED BY: N y�CC _T_ Phone: 1=LOfi'-� / Flc Dat0 � 1 — <br />Phone:_ —_-- Date --- <br />TEST CERTIFIED BY: _�--- Date y 1 <br />OBSERVED BY (REHS):: �L �Q J kp– Phone-- --- —�--- <br />1 FERC TEST ILS I l f l 11 J.1 <br />EHO 42-09 REV 1112009 <br />