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o �""�.-•� SAN JOAQUIN COUNTY <br /> A 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 /> `l LT x;j'ti� <br /> 1/ <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: �i r+C <br /> OWNER NAME: ' , <br /> DATE: `? Z? 7 <br /> APN: a'{SC'%'J ) - pj APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> OCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATI T SKETCH PERCOLATION OLATION TEST SKETCH � <br /> 2-IN DIA.PVC PIPE/ ..........z..._a... —i._ <br /> 2-INDIA.PVC PIPE/ <br /> 4 INDIA.SOIL BORING 4-INDIA.SOIL BORING <br /> I b <br /> Eir <br /> - <br /> REFILL HEIGHT <br /> _... REF L HEIGHT - <br /> f......'.. _,.�....._1.... <br /> Ll <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> E.77 Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: Lj in I Depth: 13.�,^ Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 11a / b <br /> e / 3 <br /> a.3s 1 , -73 ;a 6v <br /> 47 <br /> 6 "5 13, D <br /> b 6 <br /> PERCOLATION RATE: --rL, —_--__—__min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA:_---_--_------ RECOMMENDED SEPTIC AREA: <br /> WST PERFORMED BY: _r�oJ RAC-co Phone: �_6 '_���'d Date <br /> ST CERTIFIED BY: Phone: 209 -3L5-01 9_k <br /> Date -?- ------- <br /> OBSERVED BY (REHS): _ — Phone__ - Date <br /> - %- --- <br /> EHD 42-03 REV 1112/09 <br /> PERC TEST RATE FORM <br />