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o1..ck V!,N <br /> 1\: 1868 East Hazelton Aven'u St kton CA 95 0 <br /> 2055 62�1�- --- ----— <br /> ' Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> q<�FOR��P <br /> PERCOLATION TEST RATE <br /> E . r2A2i ErZ_ Z� CITY: L I N_DEr.J <br /> ADDRESS OR LOCATION: / <br /> OWNER NAME: Alk'J Dy yvi N-(2S TZ11J DATE: <br /> APN: -_i/Z PLICATION it: 61_00%�Z51 I DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: �cn+jo tier - 6oVke GON►p�2X to tsne, Sy 160,) <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> �1-- <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2'Diameter PVC Pipe — - - 2'Diameter PVC Pipe <br /> 1 .5 0 <br /> Ll I <br /> 3.39 — <br /> I <br /> L4. <br /> '• -• 0.1 T gravel —�— — - <br /> Re1Rl LereL• l•I 1 '� y.•3 p .._. 0.17' I <br /> _ i <br /> e <br /> Refill LeveC _ <br /> 501E PROFILE(IF REQUIRED <br /> De th Soil T e De th Soil T e De th Soil T e Depth SOilTy e <br /> Ip s 3'-3.-3 I De th Soil T eI <br /> Z-3' cla w -- <br /> s <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: ; Diameter: in De the 3.3q ' Parcel: <br /> Diameter: in De the <br /> TIME READING WATER DROP <br /> REFILLED TIME <br /> 10:00 Dr q. '; --- READING WATER DROP REFILLED <br /> 10'.30 Dir T. S 4.o 3 <br /> 11 :00 4. .6 14.06 <br /> I .6-0 .5� �i•Z 1 <br /> 12:30 <br /> 1;00 <br /> I'•30 Lt • Iq <br /> 2:00 ({. 62 <br /> PE TION RATE: — <br /> MENDED SEPTIC A 3 S. min/in PERCOLATION <br /> EA: RATE: <br /> ERFORMED BY: RECOMMENDED SEPTIC AREA: min/in <br /> RTIFIED BY: Phone: 20�j S6Q_p 3 5- <br /> ED BY(REHS): Phone: Date 3 23 <br /> EV 1112109 Phone4� Date <br /> � Date L 3 <br /> PERC TEST RATE FORM <br />