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CoRa&!>r. SAN JOAQUIN COUNTY <br /> 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 /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: /v z CITY: <br /> OWNER NAME: <br /> L h. -----DATE: <br /> (-11 Ccs of 4- - e< -h( <br /> APN: ir)`22 — � —Q� APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS A27D STRUCTURESI <br /> r <br /> PERCOLATION TEST SKETCH I PERCOLATION TEST SKETCH <br /> 2-IN DLA.PVC PIPE/ 2-IN DIA.PVC PIPE/ t <br /> 4-INDIA.SOIL BORING I 4-IN DIA-SOIL BORING <br /> JER i F <br /> • <br /> Z_ <br /> REFILL HEIGHT REFILL HEIGHT <br /> I- i i <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Sol] Type Depth Soil Type Depth Soil Type Depth Soil T <br /> Test HoIA9 I TestHo 2 <br /> 1 �,� <br /> Parcel:^ I Diameter: f;z in I Depth: ParcelDiameter: in <br /> n 1AeTIMEf <br /> TIME READING WATERDRop REFILLED TIME READING ZTE`RhD�Rop "REFILLED <br /> 1�r D-y <br /> d15- 4/' 'e4- <br /> 'dS vq <br /> 417;- b 6-- <br /> 01 5-- <br /> rO <br /> / 3 / S <br /> PERCOLATION RATE: PERCOLATION RATE: minfin <br /> RECOMMENDED S1EB1yT,.IqjhREA:-- RECOMMENDED SEPTIC AREA: <br /> I Phone: _2 A2ZL90,��wz Date <br /> EST PERFORMED _j :,a <br /> *EST CERTIFIED BY:6440-I. Phone: Date <br /> OBSERVED BY (REHS . Phone- Date CV -6 -lb <br /> EHD 42-03 REV 1IM09 PERC TEST RATE FORM <br />