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CSAN JOAQUIN COUNTYENVIRONMENTAL 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 /> LL pPERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1O�OZ(4 �- CO �f���OI-is P-D - CITY: L-j NbF-,k) <br /> OWNER NAME: JoG SAMGUJAJE: r-F l DATE: 3-3 D- i'3• <br /> APN: 18'3 -Z-10 - 01 02 APPLICATION M: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _ ! i PERCOLATION TEST SKETCH i <br /> 2-INDIA.PVCPIPF/ I- - 2-IN DIA.PVC PIP& i <br /> 4 IN DIA.SOII,BORING 4-IN DIA SOIL BORING <br /> , <br /> 1 i i Y <br /> REFILLHEIGHT �` l- � REFILL HEIGHT <br /> ......a _r._ _..� 1..... .._ ........_. ....._..., _.� �. ...�..... .._. .._. __ -...,...-.. .... .. --- .. I -1 <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 dA I Test Hole# 2 <br /> Parcel: 7— Diameter: in I Depth: 3,40 ' 1 Parcel: I Diameter: in Depth: <br /> TIME READING WATERDROP REFILLED Tina— READING WATER DROP REFILLED <br /> U 13 3, $ <br /> 3, Ir <br /> I/ li 3.91 0 <br /> 11- q1 3I , 6 3• `30 <br /> 3, b o $ 3. F7 <br /> a.9 v 8 . 90 <br /> )� <br /> 5, 97 L) 3. 17 <br /> i. NS 3•gLt , 07 9 <br /> a: /s N,o , b <br /> 7-77 <br /> PERCOLATION RATE: 77 <br /> miNin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA:� RECOMMENDED SEPTIC AREA: __ _ <br /> TEST PERFORMED BY: %A-4,"2 Phone: ,Zo9_6 8=a!&� DateST CERTIFIED BYPhone: Zaej-325-0/ Date �-/3qE SERVED BY(REHS}: _ Phone P�� Date 3 <br /> EHD 42-03 RSV 7 rm PERC TEST RATE FORM <br /> I /J� ' 3�'/- ,GI - .3 )v <br /> 2=IS ' 460, - 4Y7 - <br />