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�nAs 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:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z 'I �S� S• C f 4(zI-S yik1 A ISI CIT,: '7 tz4cAf <br /> OWNER NAME: LIODD DATE: 71 711 SC <br /> APN: 2-4 t- O 11' APPLICATION#: P P,- I DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> 1�\1 LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLA TCH _ £ PERCOLAT T SKETCH <br /> r- <br /> 2-INDIA.PVC PIPE/_a...........i__a..._. -.. <br /> I I 4 i 2-IN DIA.PVC PIPE/ <br /> 4-INDIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> , <br /> r. q �1 J <br /> _ I i <br /> .._.... I L=_j <br /> ...�. !Jr f�C� <br /> REFILL HEIGHT 3 _7C _ a— <br /> _.... <br /> S REFILL HEIGHT m <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> =� <br /> 0 v_j Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3,35' Parcel: Diameter: q in I Depth: qj <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 16:00 R <br /> v-3a '+ID ',3, 1 S b -3Z o S <br /> 00 _46 7 © <br /> PERCOLATION RATE: --__� --__—__minlin PERCOLATION RATE:=,Z, 3 _—_—__---minlin <br /> RECOMMENDED SEPTIC AREA: __ RECOMMENDED SEPTIC AREA: _ <br /> ST PERFORMED BY. a CC d_ Phone: QLD _(;0�'-,1��Q_ Date =7� 7 `� <br /> -_ ----- --- — -- <br /> ST CERTIFIED BY: _ T------ <br /> -------- '� --- Phone: ?-� 37�t_vnl�� DateOBSERVEDBYBY (RENS): Phone__—� 'w _ Date12��1� <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />