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aP !. <br /> . '.8 <br /> SAN JOAQUIN COUNTY <br /> �• -c, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> I Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> gi7FOar-, <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 1(a 5gg W, L05 P o s G TR S CITY: —/ /Z AGy <br /> OWNER NAME: U�/JN�� +IrZ�CR-t fI P;R(�lG DATE: 9 <br /> APN: oZ 69 39b- APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Oro�� t�i�y i �' �l� 3�A1� Gam{ /✓��}CTli(R� <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _.............._............... <br /> ...... <br /> _i PERCOLATION TEST SKETCH I. PERCOLATION TEST SKETCH <br /> .......... � ..._ .x. <br /> 2-INDIA.PVC PIPE/ ...........1 a 2-IN DIA.PVC PIPE/ - <br /> 4-IN DIA.SOIL BORING 4-IN DI.A.SOIL BORING <br /> e <br /> t <br /> p <br /> ] 3 f <br /> _.._...I <br /> ........... <br /> ................... ..-....... <br /> REFILL HEIGHT ' REFILL HEIGHT <br /> i <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 4'' co q <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: / Diameter: 4in Depth; q! ' Parcel: Diameter: in I Depth: <br /> TIME READING WATER DRop REFILLED TIME READING WATER DROP REFILLED <br /> 0;do 14,Z5-a 15'3 3. ?r <br /> o;30 4,17 , 44(. 3;714 <br /> 14;30 14.al . 33 3� `7k <br /> :60 q.i 3 .3 3,79 <br /> :3n 4.69 ,2 3 -79 <br /> PERCOLATION RATE: --_ QZ� —__min/in PERCOLATION RATE: --_minlin <br /> 'ECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _-1 e _�AGI�O Phone: °�_bdFf-d1k0_ Date !a <br /> TEST CERTIFIED BY: _�l_�� Phone: '24 -`i_0l`t It Date <br /> OBSERVED BY (RENS): - ------ - Phone------------- Date <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />