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/oA4"'y SAN JOAQUIN COUNTY <br /> rENVIRONMENTAL HEALTH DEPARTMENT <br /> hu 14ij 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I Z W ' LD?-P- jr J e " ' CITY: PTC, <br /> OWNERNAME: AIREL M11A-R-TIQEZ DATE: `4 - 3` I5 <br /> APN: 2-4�- D(o D-Z 14 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _ PERCOLATION TEST SKETCH ! ! I 9 PERCOLATION TEST SKETCH <br /> ...__ <br /> 2-INDIA.PVC PIPE/ 1 i'g 1 2-IN DIA.PVC PIPE/ 9 <br /> 4-IN DLA.SOIL BORING I 4-IN DIA.SOIL BORING <br /> r <br /> 4•�� <br /> i 1 d i <br /> _ �..... ...... _.� ._. <br /> -- REFILL HEIGHT �i i 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 Dole#1 Test Hole# 2 <br /> Parcel: Diameter: in I Depth: 3, Parcel; Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> i <br /> c 0 'f1 3ss' <br /> / 0,. i1 5 <br /> 3 3 k <br /> 0. 3 -3. 7 V <br /> PERCOLATION RATE: minlin PERCOLATION RATE: _----_—_—__---minlin <br /> COMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA: _----__—_--_ <br /> -ST PERFORMED BY: __" J ' �_ —__—_ Phone: .-2-c"l-C-0S r _�_ Date Q±t e 3/q _— <br /> TEST CERTIFIED BY: _— _ Phone: Date <br /> OBSERVED BY (REHS): ' _ ^'� Phone----_--____—_ Date <br /> EHO 42-03 REV 1112109 PERC TEST RATE FORM <br />