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rA SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> x! <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: 1 f Lf 1 6 C1'i'I me K i�-D , CITY: 5 T7'2�U7-v'j <br /> OWNERNAME: i••--CIA- C�(�'-![ Zy / G.p:ric fODES IA- DATE: it -7-"0 •-1f( <br /> APN: 099 130 2-. ' S APPLICATION#: JOA -1 P0v6z Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _., PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE _a...........°s..._......_ ..__E_ 2—IN DIA.PVC PIPE/ _ <br /> 4—IN DI.A.SOIL BORING 4—INDIA.SOIL BORING <br /> t a <br /> f I I-- <br /> i R 2 3 5 <br /> .......... <br /> REFILL HEIGHTQ.. REFILL HEIGHT `— <br /> • .. — <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth .Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: Parcel: Diameter: in I Depth: <br /> TIfvIE �yREAD/ING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> J("- P 1Z`7 -4 •('>V <br /> 9'•CLk7 ,L/-4 0.'-4- 4)1-.C2_ <br /> O.Lj-S 3.t+3 J'" <br /> Ir �4 <br /> -14 i of 3, <br /> 3 -,1.,40 3,7- <br /> r2 0k7 4' '� r.r� 3.�5 <br /> 12 -34 4, ,S- 010 <br /> PERCOLATION RATE: --___Z• S —_ —__min/in PERCOLATION RATE:_----___—__— <br /> _ --minlin <br /> RECOMMENDED SEPT4AR :- __— _— RECOMMENDED SEPTIC AREA:ST PERFORMED BYPhone: 3&5_32"L Date !I_��!S�EtEST CERTIFIED BY: Phone: 329_ al `1 DateOBSERVED BY (REHS) - -- ---- Phone------------ Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />