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oP4�I.y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ?"�Au X 600 East Main Street, Stockton, CA 96202-3029 <br /> f Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> r` f <br /> `IFO10� PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: 6 I i i e, (\j CITY: <br /> OWNER NAME: Q L DATE: <br /> APN: 00 l _ 2 /JO` (0 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: &"C G a <br /> REMARKS: l l` S t <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH ! PERCOLATION TEST SKETCH <br /> ........... 2-INDIA.PVC PIPE/ i E � <br /> 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> �- <br /> 3,�16, <br /> ... _ <br /> e z <br /> _ <br /> : <br /> — L....._I....... .__L...... .... <br /> i i r <br /> - REFILL HEIGHT REFILL HEIGHT - <br /> --- <br /> SOIL PROFILE IF REQUIRED I 1 <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Z+ <br /> C&LI <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: I 1 Diameter 14 in I Depth: 3.Lf ` I Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DRop REFILED <br /> 10'00 Q V/ ---- 4.�1 <br /> 10'30 0 M5 <br /> 1 * 0D DPV �- <br /> lo 4 E17 s' rZ <br /> 52- <br /> 11. 50Lf ." t05 ` -51 <br /> 'Loo -4. 5: D <br /> PERCOLATION RATE: --__'M_ ----- <br /> _minlin PERCOLATION RATE:_----___—__— minlin <br /> =COMMENDED SEPTIC A A: RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: Phone: 1/0� Ftvj-63.75 Date —4,12- _- <br /> TEST CERTIFIED BY: Phone: 2,0`L_.31-1 - CAS?k- Date `f-7-1 <br /> OBSERVED BY (RENS): _ —__ Phone__--_—__—__—_ Date <br /> EHO 42-03 REV 1112/09 PERC TEST RATE FORM <br />