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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)464-0138 Web:www.sjgov.org/ehd <br /> �iFOR/ <br /> p PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: tN L . Fi ePIAI1JC L-A. CITY: S IzCk-=moi`) <br /> OWNER NAME: S'L) Z A nl I-0 i r1 A b DATE: I I- i LQ -- I Y <br /> APN; DS�li - 4 t U Zy APPLICATION#: " I fr O L'I _71'`I' DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: e&cC t_D';lz— 3 <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH ! �" PERCOLATION TEST SKETCH <br /> ........... <br /> 2-INDIA.PVC PIPE/ 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I 1 _ t 4-INDIA.SOIL BORING <br /> - (.Los� l•�`+ �_ <br /> i` <br /> 3 <br /> { <br /> _..._._!._................._..._L................. <br /> i <br /> REFILL HEIGHT `{'Z REFILL HEIGHT <br /> ........ . <br /> L_. I I ( ( i- <br /> I <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> a <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3.Ito 1 Parcel: 2- 1 Diameter: in Depth: 3.3-4 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> p4y 4,(v y rz D12- .3Z <br /> y~-I � D►'-Y c.�I �t .� to n,2 b.5�/ <br /> F,/ . L�'� �� �-' I I I� � •O� DI's-'� <br /> •a .1 'L ro . 13 y. 3c 0. 31 <br /> io . r7 . Si C • 5'} ' 13 3ZG q,r(c <br /> .( o. 3(a to . 'J 1: , '�- 0. I -3•`I' 0 <br /> II G-D 0.3Z 3 ` 0• Z� <br /> PERCOLATION RATE: 2 _( __minlin PERCOLATION RATE:_--- �_ minlin <br /> 7-COMMENDED SEPWAR - RECOMMENDED SEPTIC AREA:'ST PERFORMED BPhone: 3c�S-32aZ Date 11- Ito-Ik <br /> TEST CERTIFIED BY: Phone: 3�1 -olq Fi DateOBSERVED BY (RENS __ __ Phone_ !_U 7�_ Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />