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,4ury� SAN JOAQUIN COUNTY <br /> xa�t.c <br /> �I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> \�QCic Oft/ <br /> PERCOLATION <br /> TEST RATE <br /> ADDRESS OR LOCA710N: / / <br /> �e r�J <br /> OWNER NAME: -�a j a.A Kr J Li qP/Yl DATE: <br /> APN: A Z3 - D yO — O-3 APPLICATION#: PPI"15�'O'i�-� DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH _. PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE -1 2-IN DIA.PVC PIPE/ <br /> 4-IN DLl SOiL BORING .. I I 4-IN DIA SOB.BORING <br /> REFILL HEIG REFILLHI <br /> SOIL PROFILE IF REOURED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter: in Depth: 2 Parcel: Diameter: in I Depth: <br /> TIME REAGNG WATERDROP REFILL.=D Tim= READMC WATER DROF RE-ILS ED <br /> �0h <br /> 1/ 00 I OW <br /> O <br /> OU h v8 — <br /> D <br /> 0 <br /> PERCOLATION RATE: _—_5fq aZminion PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTI REA:________, f RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: C/ Phone: .Z/l24�3_ Date _ <br /> TEST CERTIFIED BY: _ _ Phone -�'i GL1 t f ___ Date `l !S' Iv <br /> OBSERVED BY (REO ���> _ Phone( /� ��syf' Date ' Z1Z s— <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />