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ooa�l�r. SAN JOAQUIN COUNTY <br /> -.,.e- ., <br /> - f ENVIRONMENTAL HEALTH DEPARTMENT <br /> j 600 East Main Street, Stockton, CA 98202-3029 <br /> 1 Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> LIF°R� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: C00 5 E • -N'��ti(�y P R-� CITY: M,&f^j-15r-A <br /> OWNER NAME: &A j 'j WArTEl2S DATE: L -� <br /> APN: 161 7 - l`lO O `1 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> , <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _ PERCOLATION TEST SKETCH _ I I I <br /> s ! PERCOLATION TEST SKETCH <br /> :- <br /> 2-IN DIA.PVC PIPE/ ........... <br /> ! I ! + I 2-INDIA.PVC PIPE/ !- <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> --- ...._.... . _ <br /> II <br /> - <br /> 1 <br /> - ff <br /> 1 <br /> -REFILL HEIGHT ' - REFILL HEIGHT '- <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: / Diameter in I Depth: 3dq Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> oD .) b <br /> 0 q. 45jf"� 3.cl 9 <br /> 9:0 3 r -3 3.73 <br /> 3 4.I;Z <br /> /0�06 4i4 <br /> o 4.3y , a 4,0C'� <br /> 11 vo 4. 30 22 4,0q <br /> 06 4. 3 r <br /> PERCOLATION RATE: —l3��_--_ —__min/in PERCOLATION RATE:_----_—_—__---minlin <br /> 'ECOMMENDED SEPTIC AREA:_ _________ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: ��C� _ _ Phone: X01-40S_�l C:_ Date <br /> TEST CERTIFIED BY: ___ _ Phone: z&oL-3?Z_o1 1�_ Date to i jj __—_— <br /> OBSERVED BY (RENS): -��----- Phone------------ Date <br /> EHD 42-03 REV 1112!09 PERC TEST RATE FORM <br />