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L Refill Level: 11 • 3 ? — (4•5-3 <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />.1. <br />i <br /> L <br /> <br />t I. <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />I <br />I---1 1 • I I <br />I <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />0.17 gravel <br />- I I <br />1.1,14;.6* J 0.17 gravel <br />Refill Level: <br />SOIL PROFILE IF REQUIRED <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />o — 1.4 4' s71-1-ti sruJ <br />Parcel: C Depth: 3,14 -qi Diameter: q in <br />Test Hole # 1 <br />F OLATION RATE: min/in <br />TIME READING WATER DROP REFILLED <br />V00 <br />:3o ci ‘41 <br />4o (1.,:(3 .11 .11 4. 3 4 <br />°3o 6.t.414( , 10 <br />ro.00 <br />ro:30 44.3 4- . 0 C, <br />troo 44.4g . / / <br />IF3 0 4-(3'7- 0.51 <br />I 2.Too /-1 , q Li Co --4-D <br />Rt.,OMMENDED SEPTIC ARr: <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): (tc.:1Nr'.v e <br />EHD 42-03 REV 11/2/09 <br />r, S'"`• \A <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton 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: S 14 E, )411 &ark+ R4 CITY: <br />OWNER NAME: Set-C Able":1-LA`,/514.04,f) A &i C4 (.00,v, -zit 0 Leve.„..)ATE: <br />APN: 00'4- 0 CO — APPLICATION #: Roo I 3 2-6-3 <br />A COL/lip <br />61/6/2" <br />DEPTH TO FIRST WATER: <br />SOIL TYPE: 5401 -10 ave.:9-N to ; 5 iat.not <br />REMARKS: <br />Ft <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: <br />TIME <br /> <br />READING <br /> <br />WATER DROP <br /> <br />REFILLED <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC <br />min/in <br />AREA: <br />Phone: (20) 3 o — 03 -45- Date el/6/2 I <br />Phone: 2-o ' 36,1 - o 3 1 c" Date 44 - Co - z I <br />Phone 170 1i 1 /46 - 13;1)1 Date <br />PERC TEST RATE FORM