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aPa 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.sigov.org/ehd <br /> F -d. PERCOLATION TEST RATE <br /> ADDRESSORLOCATION: "I OIO W I•J wA4-S.:� AD. CITY: .STULKTOTJ <br /> OWNERNAME... A. M. recrt 1 SDATE: I O - <br /> APN7 IEtI- 190-04 .r-p-1. APPLICATION!!:_Rt- I 5,00 24+,Z_ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(sMowwELLS AND STROCTURES) <br /> PERCOLATION TEST SKETCH i PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE -J-j- <br /> 2-IN DIA PVC PIPE/ <br /> 4 INDIA.SOIL BORING Y IN DIA SOIL BORING <br /> y,yo <br /> o <br /> REFILL HEIGHT I 1 REFR.LHEIGHT f' <br /> • I L111111111 <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type 1 Depth Soil Type 1 Depth Soil Tye 1 Depth Soil Type Depth Soil Type <br /> Test Hole#17 Test Hole#2 <br /> Parcel: Diameter: in Depth: Parcel Diameter: in I Depth: , <br /> TIME READING WATERDROP REFILLED TIME READING WATER DROP REFILLED <br /> 3� , Y 31 S <br /> n° a 3 . 65 0 D , <br /> 3V , D O D 3, ' <br /> Oi°u , s <br /> U o <br /> IFb O <br /> PERCOLATION RATE: Com. I min/in PERCOLATION RATE: C D <br /> �_ min/in <br /> RECOMMENDED SEPTICAREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 12 6� _ Date �l2 <br /> TEST CERTIFIED BY: __ Phone: �L`1_0 _ Date <br /> OBSERVED BY(REHS . _ Phone 719 9Ti LAW Date ' '0'• EHD 42-W REV 11/2109 Phone <br /> TEST RATE FORM <br />