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a SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ., <br /> 600 East MainStreet, Stockton, GA 95202-3029 <br /> Telephone.(209)468-3420 Fax_(209)464-0138 Web_www.sigov.org/ehd <br /> sre4aN, PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 29000 nI. r"ACKVILLE (LD. CITY: CLEMF-frFS <br /> OWNERNAME' 6'Ei-A10D + THAW LVrJ C&C-9, DATE: ID'"11' 11 <br /> APN: Q 0 q- I 0-3 t - O8 APPLICATION#: PATIOOy.I7 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES snow WELLS AND STRUCTURES <br /> _r PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH - <br /> IJ 2-LN DIA.PVC PIPF1 -1N DIA.PVC PIPE, <br /> 4-IN DIA.SOB.BORING I J-� 4-IN DIA SOIL BORING <br /> REFII.L FIEIGHT REFILL HEIGHT <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil T pe Depth Soil Type Depth Soil Type <br /> Test Hol 1 Test Hole 1112 <br /> Parcel: Diameter: In I De the . Parcel: I Diameter In I De the in <br /> TIM° REAOINO WATE0.DFUP HLFILLEDTIME RE !NG WATERDRGP REFILI..ED <br /> Z O <br /> �: f 3C <br /> l� <br /> PERCOLATION RATE: _ . _.- minlin PERCOLATION RATE: <br /> RECOMMENDED SEPT REA:_ / RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:Phone: v ,,� -�GUZ:1. .. Date , � -- <br /> TEST CERTIFIED BV: Phone: 'J�Ot � _. Date OBSERVED BY BY (RE '�' �_ PhoneL,c_ <tr.� _ Date A5 '2-1�i1 <br /> EHD 12-03 REV 111WOD �� PERC TEST RATE FORM <br />