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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fox:(209)464-0136 Web.-www.S)gov.orglehd <br /> PERCOLATION TEST RATE <br /> to - <br /> ADDRESS OR LOCATION: Z Z ZlR E Hl(rNtiv Ty `-F CITY: �A'(L YA IA)(rToj <br /> OWNER NAME: -V-O",4 Chtl Pc PPE DATE. -I - I3 <br /> APN: ( �' - ) ( L) - 7-0 APPLICATION S: PA- 13 O CJO E DEPTH TO FIRST W ATER: R <br /> SOIL TYPE <br /> REMARKS. <br /> LOCATION OF TEST HOLES show WELLS AND STa <br /> PERCOLATION TEST SKETCH I ° I PERCOLATION TEST SKETCH <br /> 2-LY DIA PVC POW 1dNIIA.PVC PIPE) <br /> &IN TA A.%On.RORM I- 4-IN DI SOIL HORUNi <br /> f <br /> RLvT'II.L kffAirif __ <br /> I <br /> MGM 113'17 <br /> SOIL PROFILE IF REQUI ED 5011 De th I Soil YVOIII <br /> De th Soil T De III Soil III De h SDB <br /> Test Hole$1 Teat Hole*2 <br /> ameter <br /> Parcel: Diameter. In Depth: In Parcel: Di : In Depth: n <br /> TIME READING WAT a REFILLED LIME READING WATER DriOP REFILLED <br /> 5- <br /> 0 w <br /> - <br /> 0w <br /> [) u <br /> 00 - <br /> 3u 60 <br /> _ .�'' 1—�—mINNI PERCOLATION RATE: <br /> PERCOLATION RATE: --- <br /> mlMn <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPT EA: — �!D D� <br /> Phone: _ _ <br /> TES? PERFORMED BY: Phone: 2 _O I q s- Date - Z — <br /> TEST CERTIFIED BY' - jQ� � _7lfld DEQ <br /> OBSERVED BY (REHS): Phon 'T/ Z1gJ�, PERE TEST RATE FORM <br /> •� EHD 42-03 REQ 1IF1J09 <br />