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SAN JOAQUIN COUNTY <br /> x ,E�F•c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> \ Telephone: (209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.orylehd <br /> • .::�. <br /> t`..Q PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 11,16 Ni &Qof1'DWAY CITY: 5.7-ockTvtl <br /> OWNERNAME: FR6r4l Qdr !nlDN57IQlFS DATE: <br /> APN: 14.3 -.256-(a- _APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I I I <br /> PERCOLATION TEST SKETCH I i PERCOLATION TEST SKETCH ! <br /> 2-IN DIA.PVC PIPE —'---'�—" 2-IN DIA.PVC PIPE/ I <br /> 4-IN DIA.SOIL BORING I M IN DIA SOIL BORING I <br /> �- - <br /> - i <br /> 3•b0 <br /> I m <br /> I I <br /> REFILL HEIGHT 3•SO I RRPILL HEIGHT .-..--._-•_._ <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Tye Depth Soil Type I Depth Soil Type Depth Soil Ty a Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: I Diameter: Lf " in I Depth: 31 Parcel' Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 44:00 4rN MY 3 -5- <br /> q:jc 3,-7( ar 3,s <br /> /L1"66 3. 0 13 3-q <br /> !o: 3.S` (, •3.3.5 <br /> toe 3. 56 ' 15 3•s <br /> W.30 3. a . Il I 3. 4S- - - <br /> j;L:00 <br /> , 4S- <br /> :00 3, D Z 3, 1 <br /> 1130 Prn 3 b O 3•'�� <br /> :a P 3•J /3 <br /> PERCOLATION RATE: --LY_9 ---__minlin PERCOLATION RATE:___--__—min/in <br /> RECOMMENDED SEPTIC AREA:__ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: 'f A GQ____ Phone: 1a9 6o �I _ Date _— <br /> TEST CERTIFIED BY: _ r 0- ''99✓✓- "" Phone: -3--�'- 0�9_&_ Date _?- _ I_fr <br /> OBSERVED BY (REHS): __k _ Phone_�o`!_46p-o33s Date 2 - Zo -L�-- <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />