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w4�s r SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> �.. ... <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • ` Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd <br /> F' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: l!?�Z S• ESGft L.OnJ 13ELLOTA CITY: ESLy�'LorJ <br /> OWNER NAME: J A n/E-r W I LL.t=7T/ /2-o 0-ALD 3EN EDt X DATE: (e-Z2, - I k <br /> APN: 7ip'}- 7j y0 - Oq APPLICATION#: PA - 1 Z 12_ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> 3 <br /> LOCATION OF TEST HOLES IsHowwELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH i ' PERCOLATION TEST SKETCH I <br /> � 2-IN DIA.PVC PIPE/ <br /> 4 IN i. <br /> 2N DIA.PVC DIA.SOII.BORING .--_.... i ! 4-IN DIA.SOIL BORING 1 <br /> 3?+ <br /> I tl <br /> .� St <br /> i I <br /> REFII.L HEIGHT � REFILL HEIGI-TT <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type 1 Depth I Soil Type Depth Soil Type 1 Qepth Soil T e Depth Soil T e <br /> F <br /> Test Hole#1 Test Hole#2 <br /> Parcel• 3 Diameter: in Depth: 3 a 1 Parcel: Diameter: in Dept h: 3, 8 <br /> TIME - READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> /bsFJ 4.iq 33 j,SS o;Sd 3 7.) is 3a <br /> +6') 3. (.2 ,da _26 <br /> 3.bS /l-So 3,S 3 3,aS <br /> / 4,17 Sa 1 3,513 ..2 <br /> 16 3,1.3 i-�° Fm 35 3.615 <br /> So 31 7v l0 76 <br /> 10 <br /> PERCOLATION RATE: _ J __minlin PERCOLATION RATE: o? min/in <br /> RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: <br /> OESTPERFORMED BY: Phone: We <br /> TEST CERTIFIED BY: _ _ _ Phone: Z05 -34-1- 011k Date 'ZZ=tom_—_— <br /> OBSERVED BY(RENS): _ Phone _ Date S-� <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 1112108 <br />