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PaV1IV SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />j►. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />A�rF0 PERCOLATION TEST RATE <br />1 ` CITY: �_C • ✓'�% <br />ADDRESS OR LOCATION: 16 O I= r'G1n/P.�' 7 KOl <br />OWNER NAME: G i U[ LO DATE: g 2 Fi%2 I <br />APN: t G: t 2 30 t 2/+ APPLIfCATION M S t` Q�� 1 DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: V&r --as •4-inG S01XQ!j 0"A <br />REMARKS: <br />LOCATION OF TEST HULLS (SHOW WELLS AND STRUCTURES) <br />.......... i.5----i••___'""......i---w—.._5---~—L..__..... ... ........ <br />i.. ...... <br />PERCOLATION TEST SKETCH # PERCOLATION TEST SKETCH <br />f <br />2" Diameter PVC Pipe = t = i 2" Diameter PVC Pipe <br />_. $........_......... ... I—._A <br />1 S <br />-� 1.43 �-(. y r . -_ ...... <br />L W <br />T <br />2 od .—........ <br />0.17' gravel 0,17' gravel I <br />r J '2 <br />Refill level: Ii• 1 6 l• J 2 I Refit) Level: <br />_I.._._..z..—_.' .._.......x....._...:...........a...........—'...........a.........._g.........,: .. .. _ § ... - .. - ............ <br />SOIL PROFILE IF REQUIRED <br />Test Hole # 1 <br />Parcel: Diameter: 14 in I Depth: 2.00 <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />00 <br />L.!5 <br />a, 30 <br />2 <br />3.9-4 <br />rp;00 <br />x.23 <br />•26 <br />.1*:� <br />t0.30 <br />14.31 <br />.t�{ <br />x.16 <br />troo <br />4.31 <br />16 <br />Wf:30 <br />Li .30 <br />tl <br />CZ100 <br />Li. 6 <br />.15 <br />�-I� <br />Iz:3o <br />14.213 <br />•t Lt <br />t? <br />1:00 <br />.2`� <br />15 <br />P OLATION RATE: r � , 67 min/in <br />R__JMMENDED SEPTIC ARE4: <br />TEST PERFORMED BY: 44 84� <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />Test Hole # 2 <br />Parcel: T Diameter: in Depth: in <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone:C2�Oq) 36K-03 _4�;Date Z6 21 <br />Phone: Z•a )alt - 03_7 r Date jf' z Ca - 2-1 <br />Phone def' _��1,5r" Date � Z -10 z( <br />EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />