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/4u"Y., SAN .JOAQUIN COUNTY <br /> o.• .... <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> hal <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • .• Telephone: (209)468-3420 Fax. (209)464-0138 Web:wvrw.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: OZy 7 11,H/-V/yA CITY: <br /> OWNER NAME: j�'/3/SG,e_ A,7AI&H I--�- DATE: g-//O I/ <br /> APN: 2 55--_�76 -is 7 APPLICATION#: 10A 'I S' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> y <br /> PERCOLATION TEST SKETCH _I PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE/ - _ 2-IN DIA.PVC PIPE <br /> 4-IN DLA.SOIL BORING T i 4-INDIA.SOIL BORING <br /> 3 <br /> 5 <br /> IX <br /> d <br /> ... .......... <br /> ..i... — <br /> REFILL HEIGHT �O J --. REFILL HEIGHT 3 <br /> • _ - . - <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hale#2 <br /> Parcel: 3 1 Diameter: 4 in I Depth: _ . .).fl Parcel: Diameter: in I Depth; <br /> TIME READING WATER DROP REFILLED TIME READING WA.TERDROP REFILLED <br /> ck /- 3 7( -7:1 q 0191\1 3 •77 <br /> ' �.4,_37 • ,5 <br /> 7a 5 3. <br /> C6;0,T ; a� ,' 3 :6(- F• !y .�3 .7 3,73 <br /> '&-3,T q- 15 5 3 7,2 x. q`1 ' •37 , l0 3.77 <br /> v is- - ,q7. 3,7 � <br /> 94 11. 37 3• a6 <br /> eDI0 4 7 3, Pf 4.I-fo 3,•73 <br /> PERCOLATION RATE: __~ 1 <br /> minlin PERCOLATION RATE: `�. �.:% minlin <br /> RECOMMENDED SEPTIC AREA: ____________ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: 1�r� / FlC�v_ Phone: =J�`''�U - �Yu Date >1�11d'______ <br /> *EST CERTIFIED BY: _ � _ Phone: _J1-f__QI �I _ Date <br /> � <br /> _ Ir w <br /> OBSERVED BY (RENS): _ Pyl !20.►YV�_ PhoneDate T, / <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />