Laserfiche WebLink
�Pcy .co SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �'t<iFpR% <br /> PERCOLATION_TEST RATE <br /> Al <br /> ADDRESS OR LOCATION: �� �Il '•�AX "'4/ CITY: S 7�) <br /> OWNER NAME: r f :Teiy Z rfdY �ISSi /�L�lI1 ham- _DATE: %OZ y'% <br /> APN: �(>3 GD'-c��i / APPLICATION#: cK.GO ,�.�C' S/ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE', / 4- _ <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> • ii- � iI IIII � 11 lllI � � � il ! I I ( i <br /> � r-( � i ► ll } 11 � � , ir - ► { rl � <br /> 1 , i <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 be"— Test Hole # 2 _ <br /> Parcel: j Diameter: in De the Parcel: Diameter: in Dept in <br /> TIM7�E {`READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> (fTI <br /> Gy�ZG 0, - -- <br /> / I 0 <br /> 2.O —. <br /> �05T� ! o , o <br /> 2a 11 0 , 0011 50 1 0 , 01 <br /> - -/Z Zv 0 dc -- — — --- - - - <br /> I 26-D e). oo - <br /> PERCOLATION RATE: min/in PERCOLATION RATE: _ min/in <br /> RECOMMENDED SEPTIC AREA: RECOMJVIENDED SEPTIC AREA: <br /> TEST PERFORMED BY:- /;-1 � / �ell Phonat/.1�y•- Date /` 3i <br /> TEST CERTIFIED BY: Phone: Date _ <br /> OBSERVED BY (RENS): _ �,�,, .ids Phone Date U <br /> EHO 4203 RFV 1 v7GP PERC TEST RATE FORM <br />