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oAg".. c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton CA 95202-3029 <br /> • '� Telephone:(209)468-3420 Fax.(209)464-0138 Web:wvvw.sigov.org/ehd <br /> Ltpprx <br /> 7 cPERCOLATION TEST RATE <br /> ADDRESS OR LOCATION:_e�[ -I ?4/.5 J /�/S/rj Q� (� CITY: —/^/e <br /> OWNERNAME: Wlo, ld,G' DATE: -3--1 k -I S <br /> APN: 2 49 ok& --© APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> FPEICOLAT SKETCH ? . r PERGOLA T SKETCH p <br /> —£- -- <br /> 2-IN DIA.PVC PIPE/ __a...........1. .... ___I. <br /> 3 y i � 2-IN DIA.PVC PIPE/ <br /> 4-INDIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> ! C> <br /> 11,5- <br /> IT <br /> _ <br /> _ , <br /> .......... <br /> ;—r- <br /> i <br /> 3.�s <br /> REFILL HEIGHT L <br /> • - - - <br /> REFIL HEIGHT <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: / Diameter: in I Depth: 3,0 S Parcel: a2 Diameter: in I Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> �y I 10;e3 41K lq 7 g� <br /> '!v 3 . 90 3,�.7 <br /> v`36 R .X13 3.s- X0.3. 41 .3. 70 <br /> lo " <br /> ; ovs c� 3 41 '13 f 3 >7S <br /> 3-30 /0' 3 <br /> 1"vo 1.25 63 q,33 <br /> PERCOLATION RATE: -- <0_Cz min/in PERCOLATION RATE: _--• _ min/in <br /> RECOMMENDED SEPTIC AREA:..... __ RECOMMENDED SEPTIC AREA: -- _ <br /> ST PERFORMED BYW_UELe <br /> CD -Phone: -10 9-(o 'f-�iS(0 Date-- -------WST CERTIFIED BY: --_--_ --_-_ Phone: 7-Q -3zR_of lk Date =(-1OBSERVED BY (REHS `_ __ Phone_Pc -lO r��Sj Date <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FORM <br />