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o SAN JOAQUIN COUNTY <br /> �. �r FpG <br /> �` 'e� z ENVIRONMENTAL HEALTH DEPARTMENT <br /> A ` 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:wwvr.sjgov.orglehd <br /> �c,FgaN� PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 15751 E. Prouty/28500 N. Dry Creek CITY: Galt/Clements <br /> OWNER NAME: Paul & Fred Calosso DATE: I- Z-q -I�- <br /> APNOD09-060-03.-070-01.-090-07.-080-10,-090-05APPLICATION#: Plq "14 O 0 20 9 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 PII'Fl - - 2-IN DIA.PVC PIPE/ a <br /> 4-IN DIA SOIL BORING TT 4-IN DIA.SOU-BORING <br /> REFILL HEIGHT ✓" REFILL HEIGHT - <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> I <br /> Test Hole#1 77771 Test Holt#2 <br /> Parcel: % Diameter: in I De the Parcel Diameter: in I Depth <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLE <br /> D <br /> 130 - <br /> --- ------------ - ---- <br /> - . 0 <br /> 'Ll <br /> I <br /> PERCOLATION RATE: 2SD_— minlln PERCOLATION RATE:_ /2- min in <br /> RECOMMENDED SEPT AREA:— RECOMMENDED SEPTIC AREA: ------- <br /> TEST PERFORMED BY: __ Phone: – Date <br /> TEST CERTIFIED BY Phone: _ 2frDate _" <br /> OBSERVED BY(RENS): Phon4�'� �14. g' Date <br /> vim. EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />