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�o,au SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> {' 600 East Main Street, Stockton, CA 95202-3029 <br /> • 1 Telephone: (209)468-3420 Fax_ (209)464-0138 Web.www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: )0 /7 E D1,t,PWAfy\ 456,0,K CITY: <br /> ���__ <br /> OWNER NAME: ;� (��f'� NC:N , �-f-� DATE: f//I 'I <br /> ''v�7D—(j.7 APPLICATION F!r'f oZ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> 9 p f t S # <br /> PERCOLATION TEST SKETCH -,., ... PERCOLATION TEST SKETCH j <br /> 2-IN DIA.PVC PIPE - l—f—fi—! 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I I I I ( 4-INDIA.SOIL BORING <br /> i <br /> 1 <br /> 1 <br /> l a 3 <br /> i 1 u a <br /> _.. .......;.V........,.. 1 ._. _.. <br /> REFILL HEIGHT 3, 9 R <br /> • 1 ! I REFILL HEIGHT - <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 Hole# 2 <br /> Parcel: Diameter: :7 in I Depth: 3 Parcel: Diameter; in I Depth: <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLEC <br /> /b l V - 3 . 9 <br /> -7, 40 „S 6 3-9":)- <br /> 3: <br /> - U23: i� , Z2 , �{ Q 3.q-1 <br /> 3 �7y 3 �P <br /> ! J 3, 12 <br /> C-/o 3.1 <br /> 46 3 <br /> l /b 4.o5 . 3 <br /> PERCOLATION RATE: — _ `%� minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY 7 vo Phone: 409i�b0 e�-a 1 V6 Date <br /> EST CERTIFIED BY: _ Phone: _ `-07-011 �_ Date <br /> OBSERVED BY (RENS): q O_�y� PM/�Gf�ir►j Gtr Phone______`__ _ Date 1 <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />