Laserfiche WebLink
�gW pf. SAN JOAQUIN COUNTY <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> c-�: •fix <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • '' Telephone. (209)468-3420 Fax: (209)484-0138 Web:www.sigov.orglehd <br /> PERCOLATION TEST RATE <br /> AnIaREssaRLacAnoN: l�"�5a S• HEr+1t�-- i�.�a. CITY: <br /> OWNS R NAME: R f'" DATE: <br /> APN: APPUCA11ON#: Pf*- IObOl(1DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS. <br /> LOCATION OF TEST HOLES(SHGW WELLS AND STRUCTURES <br /> 17 <br /> _ PERCOLATION TEST SKETCH __?—.. PERCOLATION TEST SKETCH <br /> 2-IN DTA.PVC PIPE/ 2-IN AIA PVC PIPE/ <br /> i <br /> 4-IN DIA.sari.BOILING 6 9 4_IN DIA.SOIL BORING <br /> - <br /> -- <br /> _ _f �V <br /> i 1 I ME j- <br /> REFILL HEIGHT REI;'II.L HEIGHT <br /> .._f---1—T _ .- _..F—_ .,._ -- -- - F_. <br /> SOIL PROFILE F REaWfli D <br /> Depth Soil T e De th Soil T e Depth Soil Type , Depth Soil Type Depth 5o'IT <br /> Test Hole#1 Test Hole#2 <br /> Parcel: o_#& Diameter: in Depth:F2.2, in Parcel: Diameter: in I Depth:3j Y in <br /> TIME REAmNG WATERDROP REFfLLED TFmE�y REAUNG WATER DROP REF!LLEFJ <br /> �C .. J y w� <br /> Y <br /> 3 G :2C <br /> 0 i <br /> 0 <br /> a <br /> . _. <br /> rnV <br /> • � <br /> PERCOLATION RATE: ^ _�•2- _ minlln PERCOLATION RATE:- _ _�� �_._ — minlin <br /> ,�-�RECOMMENDE1 SEPTI RECOMMENDED SEPTIC AR <br /> 4 '1;ST PERFORMED BY: Phone: � �-- Y <br /> TEST CERTIFIED BY: - Phone: _ Z _- _LtDate <br /> OBSERVED BY (RENS}: �~_. ��-_ Phone- ���_�`��_- Date ! -.&e,l0 <br /> EHD 42-03 REV 1112N_ 9 PERC TEST RATE FORM <br />