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�oo,: SAN JOAQUIN COUNTY <br /> A . <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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 204 E• 1%)P-1+Av►1 Ff_X?-� CITY: T"h-(_y <br /> OWNER NAME: KALI SE(- Ekt,)C H r DATE: � -3I - I <br /> APN: ZS"S- Z�'D- O-} Z4 <br /> APPLICATION#: P, "1 Q - I ' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i <br /> ....... <br /> PERCOLATION TEST SKETCH �g PERCOLATION TEST SKETCH ?- <br /> 2-IN DIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I ! I r 4-IN DIA.SOIL BORING I^ <br /> /,5 - <br /> s <br /> y 9 <br /> i i i 2 <br /> { <br /> i <br /> REFILL HEIGHT . REFILL HEIGHT <br /> _..... ._ L. .....-I I .._.'.... ..`.. <br /> .i_ _. r....,....... j .._ ._:�...-I I _'_ ... �. ....,... i ,i.... �......�..___. <br /> II i <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 I Depth: 3,3,5 Parcel: 7 1 Diameter: q in I Depth: 3.35- <br /> TIME <br /> .35TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> i`0: D 2` - 3 .15-5 6,03 DA V3.73 <br /> ie)"40 ,b S 3, 'S f = 3 �- <br /> /D:50 L1,6 5a 16:5-3 <br /> f1,d <br /> 3"75 /3 11:03 3" �� <br /> PERCOLATION RATE: min/in PERCOLATION RATE:_-- ��_—__---minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _ __ Phone: ?0�C- ���rO Date <br /> TEST CERTIFIED BY: _ _ = _ Phone: _ y`I _DI� _ Date <br /> OBSERVED BY (REHS): _ _ _ _ Phone ���i Date 3f <br /> EHD 42-03 REV 1112/09 va PERC TEST RATE FORM <br />