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'oAqu 1 N• •.�o <br />gii'doR� <br />ADDRESS OR LOCATION: <br />OWNER NAME:�j <br />++Il <br />APN: V I 02 -2, - <br />SOIL <br />Z -SOIL TYPE: Gal <br />REMARKS: <br />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 />PERCOLATION TEST RATE <br />'172 -Li N. be -y" Let CITY: S�60-k4OA <br />Q not* C -&-V! DATE: Z � 22 <br />APPLICATION #: <br />DEPTH TO FIRST WATER: Ft <br />LOGATION UI- 1 t51 HULtS (SHOW WELLS AND STRUCTURES) <br />...__...._...._....._.__i—? ---.i......... ---i--t....s—�- -..._.......tea......-.—i l ,I ' <br />PERCOLATION TEST SKETCH�I PERCOLATION TEST SKETCH I <br />2" Diameter PVC Pipe g _ 2• Diameter PVC Pipe j <br />O I 1 <br />i— <br />.... — .......... ......._ _ <br />2 -+ .......... <br />0.17' gravel --- 0.17' gravel <br />I I ; <br />L <br />_ {......_' <br />Refill Level: „l • ✓{ i Refill Level: 3 <br />B <br />i <br />i <br />SOIL PROFILE nF RFOuIRFD► <br />Test Hole # 1 I I Test Hole # 2 <br />Parcel: 1 Diameter: 14 in I Depth: 2. Parcel: Diameter: in De the <br />TIME <br />READING <br />WATER DROP REFILLED <br />10:00 <br />r <br />10: 3o <br />D.- y> <br />5� <br />t:oo <br />Dry <br />(4.15 <br />t:10 <br />ki34 <br />. Iq Li Z3 <br />1; 20 <br />q-311 <br />(•2": - <br />. I L(.? -":F <br />t'. <br />I; O <br />1(4-1747 <br />I:40 <br />Lf. <br />. Iq <br />1 � 5o <br />4 . t <br />2: 00 <br />Li -q2.1 <br />P' 'OLATION RATE: x-{.63 min/in <br />R�—JMMENDED SEPTIC <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: I <br />OBSERVED BY (REHS): L' <br />EHD 42-03 REV 11/2/09 <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone:(-L0!j) 30 -03 r Date Z/2-."ES-7— <br />Phone: 7a - 03 l) Date <br />Phone --I (b - 3L2 Date 2 <br />PERC TEST RATE FORM <br />