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auu? , SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • Telephone: (209)468-3420 Fax-(209)464-0138 Web:www.sjgov.org/ehd <br /> Foar'P <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 'v7 lJUIE'N14fy\ 1 �RRY CITY: <br /> OWNER NAME: I<A 1� /t' �/�{/'/G1-f. L-L-e— DATE: 4 / Y <br /> APN: a7 ,2 Ica 7 APPLICATION#: -7 DEPTH TO FIR;T WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> z <br /> ............ <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> ....... _ <br /> 2-IN DIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ <br /> 4-INDIA.SOIL BORING 9 € 4-INDIA.SOIL BORING I <br /> 1 i C <br /> _I i..._ <br /> 4, <br /> I i t d m <br /> REFILL HEIGHT 3 — 3 REFILL HEIGHT' _ <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 Hole# 2 <br /> Parcel: � Diameter: in Depth: �,.�,_ Parcel: Diameter: 44 in I Depth: 3 <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> _ cc i k 17 5' 1 — 3. (.(,:, <br /> yL4,3 b <br /> Y.�v ,14 • 3 3 3 �� r e s . t-5- 5" 3 <br /> 4, 13 ))7 3 <br /> :00 3 6 .3. 1S ;05 4,13 3. Irl <br /> : 3© 4� 1 3x .35 ' -,�: , 34 3, 7 <br /> 10;do ;5' 3,1 R ! Lf� U J 7 3.4's <br /> /0:30 3,1 ' ,x,35 q.0 • 4' 3 <br /> ,1;et 3 <br /> PERCOLATION RATE: minlin PERCOLATION RATE: C�__� -----minfin <br /> RECOMMENDED SEPTIC AREA:_ ______ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: � _ e-C 6 _ _ Phone; � �d�-31�D_ Date <br /> TEST CERTIFIED BY: Phone: _ Zq'�!°) �' <br /> �`---=-- � — ------ Date <br /> OBSERVED BY (REHS): LGd�I kV[_ PhoneDate I`J14 <br /> EHD 42-03 REV 1112M uPERC TEST RATE FORM <br />