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oa�Iy. SAN JOAQUIN COUNTY <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 952023029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> fpp-ik 'wwy <br /> thug <br /> TEST RATE <br /> ADDRESS OR LOCATION: thlav E • "PPExveou-s CITY: i-tt.1 bE.�1 <br /> OWNER NAME: JOE SAN6v1&JEr I-1 DATE: `F-3-1�' <br /> APN: I&3 - �,.(Q -01 t -02 APPLICATION#: 49A-lam - 5- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES snow WELLS AND STRUCTURES <br /> PERCOLATION TES —r' - <br /> _. <br /> T SKETCH i PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE -�'-- 2-IN DIA.PVC PIPE/ <br /> 4-IN DUI.SOIL BORING 4-IN DIA SOD,BORING <br /> B I <br /> - -- �� Y <br /> REFB,L HEIGHT REFILL HEIGHT ¢ <br /> -1._..... ...__ '. .,...n- <br /> ......... ------- <br /> ....... ._.L_._ <br /> SOIL PROFILE IF REQUIRED <br /> Depth I Soil Tye I Depth I Soil Type 1 Depth I Soil Type 1 Depth I Soil Type I Depth 1 Soil Type <br /> It Test Hole# 1 3 O� Test Hole# 2 <br /> Parcel: I Diameter: in I Depth: Parcel: Diameter: in I Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> `f <br /> a: o aS b <br /> i� p 1 37 <br /> t� b 3 •o � <br /> 1• 46S <br /> PERCOLATION RATE: _ ........min/in PERCOLATION RATE: --minlin <br /> RECOMMENDED SEPTIC AR __ _ RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: GGI1 —_ Phone:�a�G ff�l Sd Date 7-3' <br /> O 7 " <br /> �B --- <br /> ST CERTIFIED BY: _ _ Phone: 07-321-0191 Date <br /> SERVED 2BY (RE _ _ Phoned °`�G -.tea Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br /> l•'*0- 2.4'- .G2 -2`fS <br /> 2 /O- 2'so- -Off -e+D <br />