Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> f ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> '. :'J! Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 19 4 S q"L-/1�j AYE • CITY: ESC L 6/J <br /> OWNER NAME: J0tf 13"w6tao DATE: <br /> APN: 4 t - 3.5 APPLICATION#: PA- i,'U o 1 I 4 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> _._.....__.. . <br /> _ PERCOLATION TEST SKETCH ? PERCOLATION TEST SKETCH _ <br /> } 2-IN DIA.PVC PIPE/ �...._.....� I 2-IN DIA.PVC PIPE/ <br /> 4-IN DL4.SOIL BORING 4-IN DIA.SOIL BORING <br /> �.......... .._ i 3. c <br /> { e <br /> i Y 1 I A <br /> REFILL HEIGHT1 1 1 REFILL HEIGHT 3'" <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole# 2 <br /> Parcel: Diameter in I Depth: Parcel: e Diameter: r-{ in I Depth: 3.,^L <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> ol <br /> i, 4 7 3 4� <br /> Cj <br /> `f. 1. 3, i -3 4. P b <br /> q H q, 37 4fS <br /> PERCOLATION RATE: _�_ __min/in PERCOLATION RATE: Gminlin <br /> ^ECOMMENDED SEPTIC AREA:___ _ _ _ RECOMMENDED SEPTIC AREA: <br /> .ST PERFORMED BY: r J I\ eC—� _ Phone: 21_S�t _ Date <br /> TEST CERTIFIED BY: _ _ Phone: _ L9=o t� Date <br /> OBSERVED BY (RENS): ,_;_� �� Phone-' C`ccA JC.lE__ Date �rl/4 <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />