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ADDRESS OR LOCATION: CITY: <br />DATE: <br />DEPTH TO FIRST WATER: <br />PERCOLATION TEST SKETCH <br />2" Diameter PVC Pipe <br />_j 0.17 gravel <br />Refill Level: 4•37- (-I. Lie <br />1 IT <br />i I I I I ! I <br />Li <br />r Diameter PVC Pipe <br />PERCOLATION TEST SKETCH <br />0.17. gravel <br />Refill Level: - <br />o ' <br />Test Hole #1 Horse <br />Parcel:IA Diameter: (4 in Depth: 3.LCV <br /> <br />Depth: Z.52: Parcel: 1,8 Diameter: 4-( in <br />PERCOLATION RATE: min/in <br />TIME READING WATER DROP REFILLED <br />10:0S Pe 4- 5.3 <br />to:38 PIP >.5-6( <br />__ _ <br />12:05- De'Ll ti• 46 <br />(7..16- q.co .27 ii . Li- / <br />17 -435- 4.71. Ze 114 . Cbq <br />12,:q6- 4,66 .17 4. 5-1-i <br />(2.15-r 4./6 ZZ <br />I:0c <br />RECOMMENDED SEPTIC AREA: <br />Phone: (24q)36cf - 03 ?-5- Date <br />Phone: 2-0 `1 311`.1- o315 Date <br />Phone(r1L3 L7 Date <br />"•/27/z.i <br />2- <br />)77.9-2/ <br />PERC TEST RATE FORM <br />Test Hole #2 #ieJd <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 />&I 03 -1-)E3L-TY,‘ <br />Ft <br />SOIL TYPE: Merl% 4+ c14. loam pew-144011 otra:ka <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />I I I J.- I I <br />OWNER NAME: rt-Ei`J P-1 wkik(2-- <br />APN: 2.A3 - (C1)-2- <br />flNJ <br />k APPLICATION #: _ 52001 _ _36 _ q <br />SOIL PROFILE (IF REQUIRED <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />O — 3 .4-044 cati 0 - 2 .5-2. s:14• cis.s, <br />TIME READING WATER DROP REFILLED <br />10:00 Pen L(.2.g <br />10:30 q.cri. . Ict 4.30 <br />li:00 cf.41- .11- 4.7.(31 <br />II:30 , e-1.Liq ig q.z$ <br />17_-.00 <br />12:30 Li , L453 ,l 6 4.34 <br />.1 4-1 <br />1:30 Li. 51 /7 L(.31 <br />-2;.00 14.14? 16 <br />F ;OLATION RATE: is% C3 min/in <br />ROMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: fa <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />END 42-03 REV 11/2/09