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PaUI�. SAN .JOAQUIN COUNTY <br /> -�Y 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:wvvvv.sjgov.org/e hd <br /> LIFORC� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR-LOCATION: 6 Ale D 9'D CITY: <br /> OWNER NAME: F_VD`I + 11'21 tM�ss 1 Lo(Ly + yIcTG -'A W\O&S 1 DATE: 3 <br /> APN: (�`� _ 2Z0- 6-3 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE:..--c U, 0 2 G Z, (TGtI UN's <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _I PERCOLATION TEST SKETCH ! PERCOLATION TEST SKETCH - <br /> -j 2-IAT DIA.PVC PIPE/ —`— 2-11N DLA PVC PIPE/ <br /> 4-IN DLk-SOIL BORING I i s { 4-I\DIA,SOIL BORING <br /> 3 3.zZ <br /> I C9 !-� Ile <br /> 33 3�' — <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 /> 2A, L)_2 <br /> lcz, <br /> S.+ <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: ( Diameter: 4 in I Depth: 3,t44' Parcel: 2 Diameter: 44 in I Depth: 3, 39 <br /> TIME READING WATER DRCP REFILLED TwE REACING 'NATER DROP REFILLED <br /> i .35 r '-{.50 11 ' <br /> f2:oS 3 -h 11,00 r �o <br /> ------------ <br /> Z :Ko .1o� (-f Z `iS . 2 Li- 6 <br /> o L4. -7-1 . a ® 3 :05 L. <br /> L <br /> �. � 6 q. <br /> 30 . 6 0 I2 <br /> PERCOLATION RATE: /�.G G. ._ _min/in PERCOLATION RATE: minlin <br /> 'COMMENDED SEPTIC AR _ _ RECOMMENDED SEPTIC AREA: <br /> _3T PERFORMED BY: ,f - _ Phone: _?Oq _ Date <br /> TEST CERTIFIED BY: _ _ _ Phone: _ 2 o t 3zy - 019 k Date _3 <br /> OBSERVED BY (REHS): — 1 -L _ PhoneDate 3 2f7 <br /> EHD 42-03 REV 11009 PERC TEST RATE FORM <br />