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as � SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • _ ;Qlepione: (209)468-3420 Fax:(249)X164-0138 Web.w�aw.sjgov.orgfehd <br /> ' PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION', <br /> J A H A AJT 2D A00>0 <br /> . CITY: Ac. <br /> OWNER NAME: <br /> TO M <br /> APW b0 l - 31.D'" O APPLICATION#: PA —1000034 DEPTH TO FIRST WATER: R <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTUR#=S R. <br /> ILI <br /> i i i a PERCOLATION TEST SKETCH i <br /> PERCOLATION TEST SKETCH -�- <br /> L�1 <br /> 2-IN DTA-PVC PlCll IN—INDIA.C•1.1�lIF.I <br /> 4-INDIA.SOIL BORING I 1 I ( 4-INDIA.SOILBORING <br /> 9 HEIGHT --- - <br /> REFILL fIEIc3HTr 5:1: REFILL <br /> SOIL PROFILE IF REQUIREDI <br /> De th Sail T Depth Sol!T e De th Soil T De h Sail T e De th Sail T <br /> Test Hale#1 Test Hole#2 <br /> 6r—oel-7101ameter: in De the in Fparrcei — <br /> TIME <br /> Qiameter: In Qe the in <br /> TIMF READ NG WATER DRop REFILLED <br /> READING WATE�ti3ROP R[—FILLED � <br /> 01 f)h <br /> —�- <br /> . 07 O <br /> 16 f <br /> d � <br /> 3S. �- fninfin PERCOLATION RATE: t(e • _______minlin <br /> PERCOLATION RATE: - _ <br /> RECOMMENDED SEPTIC EA• RECOMMENDED SEPTIC AREA: <br /> R D Date <br /> TEST PERFORMED BY: _ _ Phone: - - — -�--� <br /> TEST CERTIFIED BY: <br /> Phone: 3��7 ,4 - Date <br /> OBSERVED BY (REHS _ Phone--� ��f Date <br /> FERC TEST RATE FORM <br /> E 40 42-W REV I712m9 <br /> t2,_ rz l- -v <br />