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a SAN JOAQUIN COUNTY <br /> a� 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 /> lP-Q2 <br /> �f Q PERCOLATION TEST RATE <br /> �/ <br /> ADDRESS OR LOCATION: n �. � � ik-�//CITY: I <br /> OWNER NAME- V • St's'1%l T F% DATE: /1--1-5- <br /> APN: .�� ��G s� APPLICATION#: PPf "l3 DO 1 L l DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE. <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH ,r. PERCOLATION TEST SKETCH <br /> - 2-LN DIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ — <br /> 4-TN DTA.SOOT,PA-)RING __.j 4-IN DIA.SOIL BORING - <br /> 11 <br /> REFILL HEIGHT d -- REFILL HF(3W L/0 <br /> ---i i I 1 i f I f 1 I �_. <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type I Depth Soil Type I Depth Soil T e <br /> Test Hole,#1 Test Hale#2 <br /> Parcel: Diameter: in Depth: Parcel: Diameter: In I Depth: <br /> :3_2ij <br /> TIM. READING WATERORCP REFILLED TIME REAUINO WATER DROP REFILLED <br /> c•` z av , c <br /> f 4q <br /> v z12106 <br /> v S 11 --- = _ <br /> '� (� Z ® X- <br /> i <br /> h- a <br /> PERCOLATION RATE: ____ to• minlin PERCOLATION RATE:____ t_2S__ minlin <br /> RECOMMENDED SEPT AREA• RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED <br /> BY: — J Phone: fo 1�az_ Date <br /> TEST CERTIFIED BY: Phone: _- 9 _ Date <br /> OBSERVED BY (RE ): _ 3� - Phone Date <br /> PERC TEST RATE FORM <br /> EHO 42-03 REV 11J2/09 <br /> 3.95- <br />