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AgUtN SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> to l 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 22745 & 23649 E. Harney Ln. cITY: Lodi <br /> OWNER NAME: Goehring Berghill LLC DATE: q- q - zv <br /> APN: 067-040-01 & -09 APPLICATION#: SR0082373 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: rvlCA/TPtLIE1z-- Cc"-IEIA CPLt'7< <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> € PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> _ _.. a........ <br /> s 2"Diameter PVC Pipe <br /> 2"Diameter PVC Pipe i g <br /> CL L4 <br /> - I � <br /> -- 3 <br /> -3 ,-1 <br /> } r OAT gravel �OAT gravel <br /> -- Refill Level: 7•TS�—I•r'>`D <br /> / Refill Level: <br /> - 6 <br /> ' ._.....w_- _ <br /> I <br /> I ! I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> O- .�-S ' it f'• w L( <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: D I Diameter: De the in 3..f 5' Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> k <br /> g 70 11 L'7. LSF . 4 d <br /> �: �� .SS O.oy . - •f-I-I <br /> p .oq to <br /> II'clb < O-JS 2-8 <br /> I 3-o 14• `( 0 O(e 4. 31 <br /> l7'vv' _ 3k 0-0-) <br /> PIRCOLATION RATE: 570 min/in PERCOLATION RATE: min/in <br /> .'OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 3to5-- 3?-"2-2- Date `T-`f-� <br /> TEST CERTIFIED BY: Phone: 3 Z`t- d q�' Date 9-`4- Za <br /> OBSERVED BY (RENS): Phone V�l�- '�01 Z' Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />