Laserfiche WebLink
! r / ` -V 0 cf) <br /> O ! ! / ! <br /> 0 (D D <br /> G) ! ' �•- o, OoJQ <br /> o PQ <br /> � wv1 <br /> (D 'r ` . Iv � <br /> c� <br /> CD Cy) <br /> oN <br /> 3 cD <br /> m <br /> Z3 ► rn <br /> o - <br /> 3 V <br /> �y m <br /> trn ' ENVIRONMENT <br /> N o! 1868 East AL HEALTH D o <br /> "<`FoA•�5 TaIephOne:(209)468-342p F n Avenue,Stockton,RTMENT Q <br /> CD �:(209)464.0138 Web:A 96206.62.32 <br /> PERCO w""�si9ov.orglehd <br /> ADDRESS OR LOCATION: CATION TEST RATE 0 Q <br /> � OWNER NAME: `, ' Q O <br /> 0 3 i <br /> p API ol, _ CITY; ��� 3 cri <br /> (D SOIL TYPE: APPLICATION#: DATE: (D N <br /> � REMARKS: DEPTH TO FIRST( WATER: � N n <br /> �: N <br /> LOC ON nl T O <br /> yr°LL'ACD <br /> ND oTRUCTURES Z <br /> CD <br /> 1 r(TC[] JiCD <br /> n C! n ! p <br /> -r_-1�r i i --1 rT r-� CA <br /> 11 F-1O <br /> I .. <br /> SOIL PROFILE(IF REQUIRED) A <br /> Depth Soil T e Depths oil Type Depth Mo i Type De r_ _ Soil_Type Depth e N <br /> - I <br /> _ 3 <br /> r-- <br /> _ Test Hofe#1 -St Hole.#2 <br /> m <br /> — Diameter' in Depth: in Parrer. DL "_;er n eP ID <br /> Parcel - —� --------- <br /> ID <br /> TIIAE -1,_,READING WATER DROP <br /> WATER DROP RE ILLED _, __.---. — - - 'O <br /> TIME RF1.DIr+e _ .� -- - <D <br /> CL <br /> �- O <br /> .,N RATE: - <br /> J - PERCOLAI;.. y' <br /> - m;nhn ENDED SEPTIC AREA: Ly <br /> RECOMMENDED Date <br /> PER RATE: -• phone: _— Date m <br /> ;REQ'__ � � as o <br /> RECOIy1 JIENpEG SEPTIC, ti-- -- phone: Date_ 3 <br /> TE ERFORMED BY: _ �11PERc1E5�wTEFCR# Q <br /> ST p Phone _ <br /> O EST CcRTIFIEDBY: <br /> REHS): =�`� `9 cn <br /> E" gSER`,,ED BY( N <br /> CD <br /> 42-03 rI 11009 o <br /> fV <br /> 00 <br /> n <br /> S 0) <br />