Laserfiche WebLink
a I„ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • <I 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138Web:www.sigov.org/ehd <br /> PERCOLATION TEST RATE O <br /> ADDRESS OR LOCATION: 19 <br /> 4'{O y (9-1fC.F-4 1 aGL{S i E. �y 12{0 CITY: IP-(PO hl <br /> OWNERNAME: AM-OIV -TTF SILVA DATE: '!2 <br /> APN: 205--090-39 T -`E J APPLICATION#: P� I(�00( I DEPTHTO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES HOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH L PERCOLATION TEST SKETCH <br /> 2-INDIA.PVCPM - 2-IN DIA,PVC PIPE/ <br /> 4-IN DLA.SOIL BORING I I ( 4-IN DIA SDR.BORING <br /> i <br /> IF <br /> I I <br /> _ — <br /> REFILL HEIGHT --j-6— f ) REPIlYHEIGHT <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type 1 Depth I Soil Type I Depth Soil Type 1 Depth Soil Type 1 Depth Soil T e <br /> r 4 Test HoLe#1 _ _ Test Ho # 2 <br /> Parcel: Diameter: in Depth: � , Parcel: Diameter: in De the <br /> 3,30r <br /> A <br /> TIME READING I IA�R ROP REFILLED TIME READING 't RDROP REFILLED <br /> D/ lJ v O <br /> ViR <br /> , 7D 00 <br /> vi d /' ® kap SCJ3o a: O 70 6 3 alb— S oNe. -- <br /> PERCOLATION RATE: _ = _ minlin PERCOLATION RATE: G <br /> RECOMMENDED SEPT REA:_ ,�� RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY! -6C _ Phone:y7,j1L" �g� Date 20- <br /> TEST CERTIFIED BY: Phone: A�o �01- DI�I _ Date <br /> • OBSERVED BY (REH _ Phone�L�� _ Date <br /> 142-03 REV 11/&09 PERC TEST RATE FORM <br />