Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: ! CITY: <br /> OWNER NAME: 4";/ t e ul c-D% {lr%��.�; fzL.fft /1-t c DATE: / <br /> APN: o.4 C- APPLICATION M DEPTH TO FIRST WATER: _Ft <br /> SOIL TYPE: � <br /> ,.5`i �/ <br /> REMARKS:_ /D4lek4-re-3 f<HO ihfc- /T•- 4�4, �afu� <br /> 'te i' ir�cf K,,, %ti. -t-g ` L. imide C-�. 7ir, <br /> p7l r•t.�o+,sc�rn'n vuofr'Kd1/ �ff"n N•'I �r4c r./ n,s, � ✓-G•t�l l•n�. <br /> AA LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I <br /> i <br /> - _ <br /> I <br /> i I <br /> ► - _,_� ! f I .p S I C I II <br /> '_ <br /> _ <br /> T F I I I I 17 1 <br /> IJ1Lij <br /> SOIL PROFILE (IF REQUIRED) I I I I <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> -- — - - — <br /> 0 -2— S, j <br /> S cis2, -- <br /> ;.11-I <br /> Test Hole # 1 Test Hole # 2 8--5 <y„'fine <br /> Parcel: Diameter: in De th;)�S- in Parcel: Diameter: in Dept in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> y 3•, ? 3. .3 C..)- C'4 a3, .7 <br /> j(f n U V, 8 S` a 3• ///CG l-3,8 0, 03 <br /> -0 --)L 7o, /c /4a- - --�' 3. SI-3 C�, o Ps. 7 <br /> '17S-0 J . 4'k 1/3 <br /> /o�� J-3• Fr U,L%5' //4(D ;Z3,7 C� •u� <br /> !0 /� y- U. p P3 7g' 153 o. ( ' 3 ?S� <br /> 102-0 a-3,� C�. G 3 a 3, e, l as ) o ” <br /> /4130 3 3,7 U 0 /2/0 <br /> !o¢p a 3, a, oS- /2 Z5 . 2 3, Y� 0 . 0-5-- 1 3 3: 7-4 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY _ Phone: _ _ Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date <br /> EHD,12-03 REV 1112109 PERC TEST RATE FORM <br /> Ali <br />