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�po�?N, c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> to: i X 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> C'r• P <br /> Q Q <br /> PERCOLATION <br /> N TEST RATE /� <br /> ADDRESS OR LOCATION: D 2 u E. F I r IoAe, 1� CITY: AcA o <br /> OWNER NAME: f Cis N�r,'VI kki s DATE: q 7/U <br /> APN: 005-' 7170- t APPLICATION#: SP-00 '97-542- DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Sw1 10 �1,.,' �qa^ t i A S �ce- <br /> REMARKS: Pe,en 1 u`0 4D 3' aloes <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> ...........—s—%,.......I, i �....o- r �.....,.._..........—i ....:.--_...i-_i...........G_.__a..... ..... __y.........r�..__ ......_ ...�_i....__.-i, ..... _ ` <br /> _ PERCOLATION TEST SKETCH ' i I PERCOLATION TEST SKETCH ' <br /> e € <br /> 3 2"Diameter PVC Pipe w- 2"Diameter PVC Pipe <br /> ` .01 <br /> --.._........... ,5 <br /> 3 <br /> ` .t 1,44,4(A 25 oz.-., <br /> 5 <br /> '3 ZS <br /> _ ...... <br /> - <br /> a <br /> I 1 <br /> 0.7T gravel —.. ..4—.. ..._...... O.tT gravel <br /> ...... �. UZ - -" <br /> Refill Level: £ - Refill Level: <br /> Ys_ ...._.. — _...........:—� .. _. I .. .......... _ — <br /> @ <br /> r-17 rl—F <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type ADepth Soil Type Depth Soil Type Depth Soil Type <br /> `51 t Sil 6-101 G� w`Jbv3 c" 5onA <br /> 10-13' 3-25.►I` tee. <br /> 13 <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: ( Diameter: IS in Depth: 3.2-5" Parcel: ( Diameter: 12- in I Depth: 2S I <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> x;00 61 , UZ — q;_03 (`6.55 1 17-. S <br /> 33 Ig' � 1 <br /> 10".On Lt .03 — — 10. 03 17. 54 <br /> to 130 11,014 1 t.0 '13 11. !0 0�r3 l 1.ql <br /> r1 ;v0 4 .0 5 1 0 1 --- II i63 19,04 1:7-,g5' <br /> f 30 � 'O ,CMZ — 1 ; 373 I -1-.qq <br /> F .OLATION RATE: min/in PERCOLATION RATE: " q3 min/in <br /> f[__OMMENDED SEPTIC AR • RECOMMENDED SEPTIC AREA: <br /> 1. <br /> TEST PERFORMED BY: Phone: I 30 03:F:'> Date <br /> TEST CERTIFIED BY: Phone: 37-1-01C1 k Date 9-9-?-ca <br /> OBSERVED BY (REHS): Phone Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />