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Pa�Ik. SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 96202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 15751 E. Prouty/28500 N. Dry Creek CITY: --Galt/ Clements <br /> OWNER NAME: Paul & Fred Calosso e� `/ DATE: I Z -31 -/•f- <br /> APN� P <br /> 09-060-03.-070-01.-090-07,-080-10.-090-05APPLICATION#: �l T co 2-o j 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 DIA.PVC PIPE/ <br /> 4-IN DLA,SOIL BORING 4-IN DIA.SOIL BORING <br /> REFILL HEIGHT ," - REFILL HEIGHT <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil T e Depth Soil Type Depth Soil T pe Depth Soil Type Depth Soil Type <br /> Test Hole#1 4JTest Hole# 2 <br /> Parcel: r Diameter: in I De the a I Parcel: Diameter: in I Depth: <br /> TIME RFADING WATER DROP REFILLED, TIME RFADUJG WATER DROP RE-I_LED <br /> / ,0 (✓ <br /> t (, <br /> t, GI L) M 4 <br /> �.� <br /> 0 r <br /> H <br /> PERCOLATION RATE: _ .'� _minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI REA:_ RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY: Date <br /> / Phone: ' `L=` ,�' _ <br /> -- � � <br /> TEST CERTIFIED BYl _ hone: Date _ j - <br /> ---�- - <br /> OBSERVED BY (R S}: l 4�`� �.,�•� ,u �� Phone_ 7.4 Date - 114 <br /> ,�„ EHD 42-03 REV 1112/09 PER TEST RATE FORM <br />