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SAN J6AQUIN4 COUNTY <br /> - -: ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Maur Street, Stockton, CA 95202-3029 <br /> Telephone-(209)488-3420 Fax.(209)484-0138 Web:www.s}90v.orglehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 17-23 �• 3A*Af-rT Rte. CITY: t-iP�N'lP0 <br /> OWNER NAME: 'T Dl�1 bi yC OtJ _ _pATe: 2` 2-F-10 <br /> AI%: ooh - 310 -10 APPUCATIc PA- t 0004=�'# DEPTH 30 FIRST WATER: <br /> SOIL TYPE: <br /> SKS: <br /> gL <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> PERCOLATION TEST SKETCH [ ' i i PERCOLATION TEST SKETCH r <br /> t <br /> 2-IN BID PVC IYiPFI ! I 2-IN DTA.PVC PIPE) <br /> 4 IN DTA,SOIL BORING 4 TA1 DIA.SOIL BORING <br /> r e s 6 1 <br /> E <br /> BE <br /> REFII 1.IiI:I(`iITI <br /> � T2F�ILL IIF7GIiT _ - <br /> SOIL PROFILE OF REQIIIREI) <br /> De th Soil T Depth 5oii T Qe Soil T De Soil Type <br /> De th Soil T <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth:— in Parcel: Diameter: in De the in <br /> TIMEREADING WATER DROP RE+iLLED TIME READING ' WATER DF20P REFILLED <br /> /190 <br /> 0 � d <br /> 60 <br /> 09 '� S <br /> PERCOLATION RATE: ` -s O minlln PERCOLATION RATE: minrn <br /> rRECOMMENOED SE)TIC RED: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMEi7 BY; _ Phone: DateNfo�S� <br /> � <br /> TEST CERTIFiED.BY: <br /> Phone: 6 �0� 7' D� <br /> OBSERVED BY (REH Phone_ _ .. Date <br /> PERC,TEST RATE FORM <br /> EHD 42-03 REV 1InW <br /> l`Z _ A11A �z - !may -a. - 61g <br /> 1 , /d - - w lL✓ r '7'., fix' i- .� <br />