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A4u1' ••c <br /> � SAN JOAQUIN COUNTY <br /> o.• " <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> j 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: I I I f C`� ST�'C�� !�� CITY: <br /> OWNER NAME: W C I A 1 L--L 0 C Pc7E.Si ft DATE: !-2_0— <br /> APN: O3`T 1-30 �� —S APPLICATION#: PA - ��0 0 7-2— 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 /> a...........z... ...— <br /> 2-IN DIA.PVC PIPE -: 2-IN DIA.PVC PIPE/ <br /> P3 r 4-IN DIA,SOIL BORING f - . f ! 4-INDIA.SOIL BORING $ - <br /> 3133 <br /> R � s <br /> - _ !...-g..__....._.._........ - _.. . <br /> REFILL HEIGHT F G <br /> REFILL HEIGHT a <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: Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 4,z°I �• S� 3• iv � <br /> 10•111 3.4u�' <br /> 11 '•11 4,7– 0.9S_ -3 <br /> o <br /> 1 o.-,i 3•L4 <br /> o- 41 `f'ou' v <0- <br /> PERCOLATION RATE: __minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AR __ ___ _ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _ _ _ _— Phone: _5(e5`3zZ2 Date _[�=ZL_I S`_____ <br /> TEST CERTIFIED BY: ------uJ�----- Phone: _�?`�-019& Date _l w=1k <br /> OBSERVED BY (REHS): ( i,,,,�r � Phone_____________ Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />