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f <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> .: 600 East Main Street, Stockton, CA 95202-3029 <br /> Telep#tope:(209)468-3420 Faux_(209)464-0138 Web:wvi w1jgbv.orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR Locwnow ISI . .t- SI C. FogcST (rNY-e : IZQ'. CITY: ( LFYNtiP a <br /> OWNER NAME: JOSEPH ' ETCH£N E6 ATE: D 2DI(� <br /> APN: -t r I +003-{2.0-O L-APPLICATION#: h -0-100 11"7--' . DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> { <br /> LOCA77ON OF TEST HOLES mHowWELLS AND STRUCTURES <br /> € ! <br /> i— <br /> i! PERCOLATION TEST SKETCH � _r-�—�' PERCOLA'T'ION TEST SKETCH � <br /> 1 .. .i _I._' -- <br /> 2-IN PVCPIPFJ2I DIA_PVC PIPE, <br /> +t-IN DIA,SOIL BORING _ l 4-INDIA SOIL BORING <br /> HE <br /> � • <br /> -L L�j -L <br /> 4 <br /> REFaL BEIGHT i�e REFff-L MGHr <br /> SOIL PROF (IF REf3U D <br /> Depth Soil Type De th Soil T <br /> i3e 13Q h Soil Type Depth Soil T e Depth Soil T e <br /> I Test Hole.#1 Test Hole#2 <br /> l Paroei: Diameter:. . In I Depth: In I Parcel: Diam!� 2r: in I De h: in <br /> Tine READINd WATERDROP. REFILLED TimF EMING WATI_RDROP REFILLED <br /> lo 6 <br /> I-A 11bF ".t yr <br /> 27, <br /> W3 <br /> Q <br /> q `7Q ��� ..fie, <br /> r <br /> 10 <br /> 7 <br /> PERCOLATlt7Ml RATE: PEloll <br /> RCOLATION RATE: mirin <br /> RECgMIUlEItpED SEPT BEA: RECOMMEND SE TIC AREA:• <br /> `FEST PERFORMED BY; Phone: '' _ Date <br /> IES CERTIFIE❑BY: Phone: a �o� '-G 4� Date <br /> oBSI=RVED BY(BI=NS . Phone_.. 35L4ea_ Date <br /> EHD 42-03 REV 1912109 FERC TEST`RATE FORM <br />