Laserfiche WebLink
auln SAN JOAQUIN COUNTY <br /> �o,.P .cDy <br /> r.' z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 'ry <br /> a PERCOLATION TEST RATE r^ <br /> ADDRESS OR LOCATION: N"754 Mir (Zlda 9P. CITY: 6 -� L•ON <br /> OWNER NAME: MbRQN'T�(L-L IiiziiYy DATE: p1'tl'201(P <br /> APN: Swi tm 031 APPLICATION 4: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: iL'i1' '✓fN,{j___..._-..- ___________ <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> r I I i I I <br /> }- <br /> ._� <br /> I S I I _•�-'- __I f <br /> .- <br /> zmw <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth <br /> Soil T fpe1 Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole# A% <br /> Parcel: Diamete_r_': ___Co in I De the i& Zin Parcel: Diameter: in De the P qZin <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 'Z '3).�0 – '.D( <br /> ,L(Z L 1.4rJ (e a-zo 7✓. ?�D-- ,I .2 6 .90 S 0 — <br /> tv..m I$2r+b 0.00 2:2( _ 1.no(E D.Sco 3: <br /> use PLiLro r &3 2:31 4.1296 0 6.soo I <br /> 2'.L41 9,1m(d e5.9b <br /> '2t5( 24p b,L15o 3. d <br /> 6'-(9D <br /> O Off <br /> R <br /> PERCOLATION RATE: /' ti� PE N RATE: (.`!d ..... min/in <br /> RECOMMENDED SEPTICREA: RECOM D SEPTIC AREA: <br /> TEST PERFORMED BY {% 3u l» F No. 1i8P§fie:_ • 6z-`a5`39 _ Date {1.21.2ait� <br /> TEST CERTIFIED BY: �� ` rr_.,_. Exp. !' DateL <br /> OBSERVED BY(RENS): _ Oil�on / Date <br /> EHD 42-03 REV 1 t/2/09 OF CAUF���j/' PERC TEST RATE FORM <br />