Laserfiche WebLink
/oc4tu"Y, SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> ji&M 600 East Main Street, Stockton, CA 95202-3029 <br /> �'"• '� Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> �1FOR�� <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: !4 Zy- S' CITY: <br /> Cya7.)-'fi <br /> OWNER NAME: DATE: <br /> APN: l k 3 - 02-,0 -09 APPLICATION#: <br /> I DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: JiN l �f Q <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> - =— <br /> PERCOLATION TEST SKETCH i i I I PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE/ "-?Ft <br /> 2-IN DIA.PVC PIPE/ c <br /> 4 IN DLA.SOIL BORING 3-INDIA.SOIL BORING I <br /> i x <br /> 4j, <br /> 1/r 7 t i i 1 <br /> i i i t 3 y <br /> REFILL HEIGHT REFILL HEIGHT °- <br /> _ . <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> A\� <br /> ' S,1-f A <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: 4 in I Depth: 3. q 7 Parcel; I Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READ.NG WATER DROP REFILLED <br /> /� 139 4, 01 <br /> q; ", 5b ,q 3 4. 67 <br /> co 4, 4� q f 14 0 <br /> i36 -: 5b , J41 4,U3 -- <br /> il c'CUU q, , 37 4,o <br /> f1 30 , Sl qa 14 . A ( <br /> :06 x.f15-3 1 61-12 ) <br /> PERCOLATION RATE: --_ _� min/in PERCOLATION RATE:_—__--___—__---minlin <br /> ECOMMENDED SEPTIC AREA: ___ ___ _ RECOMMENDED SEPTIC AREA: <br /> CST PERFORMED BY: 6a1 �L�_—— Phone: Date <br /> TEST CERTIFIED BY: _ Phone: dog-�Z`t_oi�t Date <br /> OBSERVED BY (RENS): — Phone__--_ Date �Za <br /> EHD 42-03 REV 1112/09 PERC TEST RATE-FORM <br />