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II' rD D <br /> 0 <br /> D p <br /> N [r N H <br /> N LIn <br /> M <br /> fD N <br /> SAN JOAQUIN COUNTY O <br /> M ENVIRONMENTAL HEALTH DEPARTMENT O 'D v <br /> < - 600 East Main Street,Stockton,CA 95202-3029 f v <br /> �• god,. Telephone:1209)468-3420 Fax:12091 464-0138 Web:www.sjgov orglehd M <br /> p 1,1'c.;a. 7 N <br /> PERCOLATION TEST RATE <br /> as <br /> rD ADDRESSOR LOCATION: I� S-) $A�(rENT PD. CITY: LLj>1 r <br /> 7 <br /> 'Y OWNERNAME. 5NfZ T E+JE@JES2C <br /> Tf1AAj ENTER <br /> fy DATE: 10-2 S-19 N �' <br /> S � <br /> = APN: OS 3-07G-Dio -p"1 _p,� APPLICATIONX: PPT-1�IUG�(�-`� DEPTH TO FIRST WATER: 1r0'+ Ft M 0- <br /> rD SOIL TYPE n ;,14- o4 Sa`.�.�[Jc.; /c1ru4.5j4 '"E r— <br /> �. REMARKS: 3;� auFr b++ Rtt*b±n'�4-4 ?F�f'EAQ«I� 0 <br /> L/1 <br /> ID LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> N• PERCOLATION TEST SKETCH _ _._- PERCOLATION TEST SKETCH _. <br /> Y =-IN DLA.PV'C PIPE - :-LN DIA P1,'PIPE — <br /> 4•N DIA.SOIL BORING — 4-IN DIA,SOD.BORING <br /> i <br /> 14 <br /> I REFILL iiuwr ItGFILI.IIEIOITr <br /> F T _, � � � I SII : i � III, i ! iliill ! <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil T pe Depth Soil Type Depth Soil Type Depth _Soil Type Depth Soll Tvpe <br /> 0-1' Sa.d ,Ir T-1 I S• c -- <br /> i <br /> 1 <br /> ALL � Test Hole#1 r?EEl' Test Hole#2 i <br /> Parcel' I Diameter: H in Depth: 3,a i Parcel' I Diameter { in Depth: J}.�dl <br /> Tun: Rr,c vu 41Ea DRC:: Re°,_=r. <br /> TIMiE REApme WAI:.D, FFF11I �� — ?3•j 1 <br /> I'l.,ro <br /> y.3o sl 03 S z'•3a 23 9e 39 22• <br /> 1 i J2 8 ,0.1 <br /> S! bo 3 3d- <br /> 3 a2 t•- Z 2� �I ,os JQ. 3� <br /> ,o5 <br /> do 313 <br /> 3 3.oZ )i L) 3 <br /> 3,/ 3 , o 4. 1 <br /> :3z dd,Oj 3 a . 9 <br /> 4•.rnD 3 <br /> D— minfin PERCOLATION RATE:_---L4�3 --minlin <br /> PERCOLATION RATE:--_— - RECOMMENDED SEPTIC AREA: --- ---- <br /> RECOMMENDED SEPTIC A ----- Phone: -rI�'' =' Date 1/.:-----=X--- <br /> C CCD---- Date <br /> TEST PERFORMED BY:_J - - Phone: . - <br /> TEST CERTIFIED BY: --_ -- -- Phone- —_ _ Date <br /> _-- -_- -- PERC IF RATE FURM <br /> OBSERVED BY(RENS): <br /> EHO 42-03 REV 1112/09 <br /> m <br /> 0 <br /> MUM g o <br /> N <br /> 0� O <br /> 01Q O <br /> rD 10.0 <br /> F- N <br /> O <br /> F" <br />