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SAN JOAQUIN COUNTY <br /> ao.�.co <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • "! 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 170(JL' CITY: Ac4"v-AO <br /> OWNER NAME: DATE: CJ-1S - I-I <br /> APN: OIR - (' O - ��- APPLICATIONS: Pr�-1-fioa �� 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/ 2-IN DLA.PVC PIPE/ <br /> 4-IN DIA SOIL BORING I I I 4-IN DIA,SOIL BORING S <br /> 14, V7 <br /> f I <br /> 1 i i <br /> 7� <br /> REFaLHEIGHT 3� ... 1 _.; I REFILLHEIGHT <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> De th I Soil Tye I Depth Soil Type Depth I Soil Type I De th I SDII tvpe I Depth I Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: / I Diameter: in I Depth3.3 Parcel: T Diameter: in Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLK <br /> T CL ,JIA 3 ,7SS <br /> 193 3,TO <br /> c . r,-T- 3-1-15r <br /> : 3c 1,4, 35- ' 60 3 ,75 <br /> b 3 . 81 <br /> to as 1 14•A 6 1 A 5 3 - S' <br /> 0D "3C J-1 . ALA 3,if <br /> PERCOLATION RATE: ___ �5—_min/in PERCOLATION RATE:__ _min/in <br /> RECOMMENDED SEPTIC AREA: _____ RECOMMENDED SEPTIC AREA: _-- <br /> ST PERFORMED BY: —1— ____ Phone: 2�Q <br /> _t- 6,o I?,XLk Dateqk <br /> 1Z— <br /> ST CERTIFIED BY: Phone: 2o�3Z9 -Or 9 k Date 9JK-LZ—_—L <br /> OBSERVED BY(RENS): _ Phone__ _ Date <br /> EHD 42-03 REV 1 VM9 PERC TEST RATE FORM <br />