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Aar?y.. SAN JOAQUIN COUNTY <br /> o. .coc ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> i Telephone: (209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> • Fa PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /Af 22 5. f_scAL_g7,j /3F:LL-OTA CITY: <br /> OWNER NAME: fA ,•—r LJ 4•Gf`T �/ko.ZA L-P 13Fi ''= IX DATE: Io^ 22^I � <br /> APN: a0I '320 —OrJ APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> #� LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH 11 1 PERCOLATION TEST SKETCH I <br /> 2-IN DIA.PVC PIPE/ __" 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4-IN DIA SOIL BORING <br /> i. 3 <br /> 30� ! <br /> TF <br /> REFB.LHEIGHT 3.4 1 ! ( I REFII,L HEIGHT 4 <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Sail T e De th Soil Type De 1 Soil Type 1 Depth I Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: n Depth: ,dam Parcel Diameter: in Depth: <br /> TIME READING WATERDROE REFILLED TIME READING WATERDROP REFlL_ED <br /> /a:vey 3 , Sof 3a <br /> Win 3•�Fs bX 3. so <br /> if :'fa J,7o J40 3, `f <br /> 01: 0 AI(I 3S 3, 3 <br /> 4o <br /> l '/0 3,g0 a3 <br /> i 'fa 3. g io <br /> 0 3,q3 <br /> PERCOLATION RATE: _��_ min/in PERCOLATION RATE:___----min/in <br /> RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: _____—_ <br /> EST PERFORMED B . /Q (4000 __ Phone:209-60�'almoo_ Date 6 �� /b <br /> TEST CERTIFIED BY: Phone: Z7 _3>�1-01�i Date t 22_1 _ <br /> OBSERVED BY (REHS): iS1/ Phone_tv?-4 �#O _ Date <br /> EHD 42-03 REV 11W09 PERC TEST RATE FORM <br />