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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone. (209)468-3420 Fax:(209)464-0938 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: AT44itJS iZ:D- ----iC3TY- Lor-le-ef=ooLi> (L-C;t>l) <br /> OWNER NAME: fAhf-V-VS DATE. L+ <br /> APN: 014 -ILiO '40 APPLICATION#: ? <br /> 01000114 DEPTH TO FIRST WATER: Ft <br /> MIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES.(2gWEu-S AND STRUCTURES� <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-LN DIA.PVC PEPFJ2-IN TRA.PX'C PIPE; <br /> 4-IN TNA.SOIL ROWNG 1 4-IN DIA.SOIL BORING <br /> Hff- <br /> I —a t i I-- <br /> '-T7T <br /> REFILLHUGHT REML IIM= <br /> J-1 F, <br /> 171' <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil T a Depth Soil Type Depth Soil Type I Depth Soil I ype I <br /> A <br /> Test Flol—m 4 Test No le#2 <br /> Parcel; Diameter. in Depth: :5 ..4 ',3� 1 Parcel: Diameter: in I Depth: <br /> READING WATERDRU REF A LED 1WE REAmNG WA rER OROP REFILLtC <br /> GHQ - it 7 <br /> "oo <br /> /6 y 27= <br /> '7 <br /> :2 <br /> PERCOLATION RATE: mkwln <br /> PERCOLATION RATE: mirdin <br /> RECOMMENDEDSEPT EA:— RECOMMENDED SEPTIC AREA: <br /> ,4 D�y Phone: Date <br /> TEST PERFORMED _ 2, <br /> TEST CERTIFIED BY: Phone: _311�i-qfqV Data <br /> OBSERVED BY (RE Phone Date <br /> LHO 12-03 REV 1112f09 PF-RC TEST RATE FORM <br /> P. 3 <br />