Laserfiche WebLink
i <br /> 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 /> �c1F6RN <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 2 CITY: Ac ?° <br /> OWNER NAME: i , p.ii`1 __DATE: L' C 2a2o <br /> APN: , z'10 -`I`1 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: .� S►^ <br /> REMARKS: -- <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> f_ l ff. f _�- -� ( � l ( f -� ff_-1 f -f_ ► f ( � iffl f fI II -� ( (__-1 ( ( _f f I , s <br /> 4 <br /> x K' <br /> 1 <br /> i ! I <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth — Soil Type Depth + Soil Type <br /> � - i � SI..� is tT � s t f 1 S:IF Sw-: 5•Y �Z S: I S�r.L. -_- I <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in Depth: in <br /> TIME I READING WATER DROP i REFILLED TIME _i _ READING WATER DROP_ - - REFILLED <br /> ,_ Q h - -r - _T <br /> _-_ - <br /> 17 <br /> ra c 14 1, <br /> 1 1 p Z o U 7 S lei <br /> PERCOLATION RATE: -7 Int min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: i L Phone: Date <br /> TEST CERTIFIED BY: Phone: —__— Date <br /> OBSERVED BY(REHS)• L42 Phone Date _ <br /> EHD 42.03 REV 1112109 PERC TEST RATE FORM <br />