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PQ��N SAN JOAQUIN COUNTY <br /> 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 /> 9�1Fp � <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 3� 9 SdtrZG Civ l �� ' CITY: �}t <br /> OWNER NAME: Sft T SE �3"r p-0 rrD r A(2_V N S _DATE: q 12 Z z j <br /> APN: vZ_S-- 14 OE' APPLICATION#: bZ� -1'�b - U� DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: TCS t�To"', -t ' S ov—,"L, L O am <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> _ _,,. ..,,. — ..... e..... �..—€...... ..........—r.. i—a.. .......e. —...._ —6... --i—d......_..—i—�......- <br /> P ERCOLATION TEST SKETCH ...._�. e PERCOLATION TEST SKETCH% = <br /> 2°Diameter PVC <br /> Pipe Diameter PVC Pipe <br /> 2.32 <br /> 'n 0.17' ravel § t f # Uzi^'" 0.17'gravel <br /> I <br /> Refill Level: � — � �1 € € e _ � Refill Level: <br /> ? 8 <br /> E { <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> 0'- 21.4q, �� S;I - - EE L <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: Diameter: L4 in I Depth: 2° Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> o brq Z <br /> '130 > 6 ---- <br /> 2 00 D� �f . S57 <br /> 12 40 y. . I`t 4.60 <br /> 2: Z0 T .I 54 <br /> t Z: 30 `i 1";L4 . I S L1.61 <br /> lz: 40 . 75 .I 567 <br /> Ir ;z-;D "� . �Z . 13 <br /> If .6o <br /> coo <br /> F ,OLATION RATE: S R5 min/in PERCOLATION RATE: min/in <br /> R,—OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 20q 36q_03 5' Date R/2-2-/2- 1 <br /> TEST CERTIFIED BY: Phone: 1,65 31a�t-�3�s Date q -ZZ - Z.I <br /> OBSERVED BY (REHS): Phone Date ���zzA:d!al <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />