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�QL,fH SAN JOAQUIN COUNTY <br /> �o. .coG ENVIRONMENTAL HEALTH DEPARTMENT <br /> ! 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> C4�r•FOR�`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 22745 & 23649 E. Harney Ln. CITY: Lodi <br /> OWNER NAME: Goehrinq Berghill LLC DATE: <br /> APN: 067-040-01 & -09 APPLICATION#: SR0082373 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: Irc�Ar-Lir-J S^Ajbq ,JL{.' 'M'N - <br /> REMARKS: ` -:)-e r('Vv,, 2_'T �i'Z' i t 7om2 moi. — o� °JC /�'� 2 c/ 0. D' <br /> V <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> : <br /> 1 <br /> PERCOLATION TEST SKETCH : PERCOLATION TEST SKETCH <br /> 2"Diameter PVC Pipe 6 —i € 2"Diameter PVC Pipe ' <br /> �,C <br /> FAIL <br /> � .__... _.............. '.-.. <br /> LZ / <br /> f1 ......... — <br /> - + 0.17'gravel vel 0.17'gra <br /> Refill level: .4' (+;s S ,4. Z Refill Level: <br /> . -- _ <br /> x— ..........._.-._...: .........._. ....._5...........: <br /> t <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Ty.pe Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: 16 Diameter: `1 in I Depth: 3.1 ItParcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ?"iDiz y 4- LIT <br /> g m 5' v >0.4 -4•3(c <br /> _r 3(� <br /> 9 S" J 01 >o 3-2- <br /> 4. 31 <br /> 4. 3-1 04b 1 -2- t <br /> x{ • 31 Z0 <br /> 1-2 0111 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> :OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 3G:S "3 Z 2 z Date Z <br /> TEST CERTIFIED BY: Phone: 32`x-° q Date 9 f I - 7-�'> <br /> OBSERVED BY (REHS): vl Phone Date 11 -111 - 70W <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />