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�PauqA�. SAN JOAQUIN COUNTY <br /> 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 /> aLPFo��� <br /> p PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z 3d S J A NE t-). CIN: PC N <br /> OWNER NAME: �� KIS I M L i N'TU S Fk DATE: 0 I�-- Lv <br /> APN: ZZ - f '3 y APPLICATION#: S 12—0-0 9 21 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: VLyz-ITtekS ANE7 L-4Aw\ <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> --............._- <br /> _� PERCOLATION TEST SKETCH ° ! PERCOLATION TEST SKETCH <br /> ..._....-4 T _.l_.........A...-4...-i_F. <br /> 2—IN DIA.PVC PIPE' � � I � 2-12N DIA.PVC PIPE/ 6 <br /> 4—IN DIA.SOIL BORING 4—IN DI.A.SOIL BORING <br /> SIIA L r a <br /> 3, 1 ' <br /> 14 z <br /> FILL 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 /> Test Hole# 1 Test Hole#2 <br /> Parcel: i I Diameter: 4 in I Depth: Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> C"C= -4-.,-1 i O L+ S"3 <br /> 3-0 4.- - 3'l S- <br /> cv , 9 1 L),31P o— - <br /> Io ° 30 4.qz 0.32- t,3 <br /> i I '. 3o + C1-L 6 .Z- . (o_2 <br /> C. 30 <br /> PERCOLATION RATE: � <br /> _� minlin PERCOLATION RATE:__________ minlin <br /> COMMENDED SEPTIC AREA:--- --------- RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: _ _ _ Phone: Date <br /> j L?2 Date <br /> TEST CERTIFIED BY: __44N Phone: _ ?tl =0�`� Date Ao:�(k' <br /> OBSERVED BY (RENS): _ �tikl�cf �1�,�___—__—__ Phone_____________ Date 0412n?,e <br /> EHD 42-03 REV 1112/09 PERC TEST RATE FORM <br />