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PQUI/y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> q�iFOR�� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: p CITY: <br /> OWNERNAME: bVa,l�1"-0� DATE: <br /> APN: r APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> l I i l l l i l i l l l l i i l l l I l i I i I i i I 1 1 1 1 1 1 1 1 I l l i i l <br /> j...._...J. I. ....... <br /> - ! i 3� I I_--'I • —r._—;__�i.._.—i =— _-- — I—�—I L—I—.1 --- <br /> - ( i 3 I i € I _ - �---�._...__' .i—.�._—� i—i—._—I i—,--i--t—i.---i - — -�/p��j'�—!_ '—• .i—i-_: 1—_ _ <br /> x a I - <br /> S I Le <br /> I — <br /> I <br /> : <br /> j = <br /> 11 -r <br /> _ <br /> F......... ....... ........ <br /> i ,y,}} Al: <br /> I <br /> ? i <br /> i <br /> s <br /> : <br /> i <br /> : a a <br /> s <br /> t <br /> , <br /> F <br /> , - I a a I - I - ...... <br /> . I _.moi. ! I I:.__l-1_�._.... <br /> 1 1-9 1 <br /> _._.1 FT F — <br /> I I — —� — <br /> �_.. i I-9 l � �1 <br /> I = <br /> I <br /> ' I <br /> I _ <br /> ' <br /> -- -- i <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I De the k1l in Parcel: Diameter: in Depth: in <br /> TIME READING WATEF,DROP REFILLED TIME READING WATER DROP REFILLED <br /> 8 3S 3.115 I <br /> O-Z 3 2,014 <br /> x;35 <br /> 3.15 0.zI <br /> I�O:>•i� 3.35 U•2c� 2� '�5 <br /> 110. 3,113 <br /> 2.35 0. ?-L z, V <br /> ,p b.Z_L' <br /> 3.1S O:Ib <br /> PERCOLATION RATE: 1 AA o minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: I2,000 s+ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 0%,", : Phone: _ Date <br /> TEST CERTIFIED BY: ..�,,I, a�. `,"_ Phone: �� 9 `. Date j <br /> OBSERVED BY(REHS): (/ L Phone Date <br /> EHD 42-03 REV 1112109 VVE PERC TEST RATE FORM <br /> ICSH CSRTzF:KEp ��� <br />