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�;a+riry; SAN JOAQUIN COUNTY <br /> J`�o`��. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, GA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 15751 E. Prouty Rd. CITY: Galt <br /> OWNER NAME: Paul CaloSSo DATE: Q <br /> APN09-020-03;009-060-03;009-070-01;009-090aPPLICATION#: PA "116+o o-L o 9 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH ....` ' I i PERCOLATION TEST SKETCH <br /> r <br /> 2-INDIA.PVC PIPE' 2--IN DIA.PVC PIPE/ -- <br /> 4-IN DLI.SOIL BORING t 1 4-IN DIA.SOIL BORING <br /> E r <br /> _A _ <br /> I ....... T..- I_._-... <br /> REFILL HEIGHT REFILL HEIGHT - <br /> I- I I-- l 1 I -i _, ------SOIL PROFILE PROFILE IF REQUIRED <br /> Depth Soil Tye Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I De the . Parcel: Diameter: in Depth: <br /> II�`F Rt-P.D.PIG WATERDROF RFFn i-'7 Tim Rr—'I:.PIC" WATER DROP R-1 <br /> t7 r O <br /> r C) p <br /> L o. <br /> 'tcvD 0 :S <br /> l pc7 <br /> PERCOLATION RATE: •'+ minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI REA:_________ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: � w./iG`I� Phone: 7i/ = g�--_ Date _7 111 <br /> TEST CERTIFIED BY: _ _ Phone: _.. R-OLS_- Date <br /> OBSERVED BY(REH : _ _ Phone l�_� _ Date ! `1Z <br /> �, EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />