Laserfiche WebLink
�' m <br /> � •O m D <br /> N CL <br /> o 0 <br /> LID <br /> f. <br /> D) M N v <br /> O UI <br /> tABlb. <br /> m SAN JOAQUIN COUNTY <br /> �. . <br /> <' 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT m <br /> Q1868 Fast Hazolton Avenue,Stockton,CA 95205.6232 O <br /> 7 rD <br /> =3 �' Telephone:(209)468-3420 Fax:(209)4644)138 Web:www.sjgov.org/ehd <br /> �Ii iliPN� <br /> PERCOLATION TEST RATE <br /> y <br /> e-F ADDRESS OR LOCATION: � 1 I. ' ' � � <br /> Gl <br /> _cm: Acv,,o 452^o <br /> = <br /> OWNERNAME: � -I -(. -� - _._______._-_— .-__ � rD <br /> -, - -- ---- ------DATE !U/�`'l iTO1 h D <br /> rD APN:._'_-__ 1"" 6 I APPLICATION I. l — fl, <br /> SOIL TYPE DEMro FIRST WATER: 3 <br /> REMARKS: N11 0 <br /> 1 <br /> v' LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> N• i i l l t I_i l i I -1 I l i 1----.. i _ <br /> r <br /> f 1 T Ii (� 1 1_� T�( 1i <br /> IiIlI1:-llilf�lfl � f ! IIIIf -> 1LLllil. <br /> I I I I F r <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type _ Depth___ Soil Type _Depth- Soil T e Depth Sofl T a Depth SO Type <br /> Test Hole#1Test Hole#2 <br /> Parcel. Diameter. in De the y: n Parcel: Diameter. in De ih: in <br /> 111.1E RENDING WAI01 DROP RLLN.L[D To,; READIND WAIMDRUP REFIRED <br /> b!' — <br /> PERCOLATION RATE: min/in PERCOLATION RATE: minfin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Joi L M aU' _ _ Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> _—'�' r------- Date <br /> OBSERVED BY(RENS): Phone..____-___ ---- <br /> PERC TEST RATE FORM <br /> 1-110 47.49 REV 1112109 rD <br /> n <br /> O <br /> -t <br /> Q <br /> D li <br /> N <br /> 0 <br /> � O <br /> oq O <br /> O � <br /> F-' <br /> N W <br /> O N <br /> h 00 <br /> F-A <br />