Laserfiche WebLink
CIL)o = o <br /> v� <br /> SAN JOAQUIN COUNTY O n <br /> .. t? <br /> 02` ENVIRONMENTAL HEALTH DEPARTMENT <br /> i <br /> N � m <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-6232 No 0 <br /> P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd N V <br /> O WPERCOLATION TEST ATE Q Ln <br /> M y <br /> Ln <br /> O ADDRESS OR LOCATION: Z3 SSS N. �i..4t. t[",; =r Ln <br /> CITY: A co r.po O <br /> OWNER NAME: w•�I�-�•.c P- } O <br /> O APN• ooi_2?y -Y1' DATE: c. { 2970 <br /> - APPLICATION f1: DEPTH TO FIRST WATER: Ft S <br /> (D SOIL TYPE: 5a- S:I <br /> a, REMARKS: S B <br /> M <br /> _ CL <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) O n <br /> o <br /> v <br /> *Y . , . <br /> _ _ rnlr <br /> �r r i --7---; <br /> LI 1 I I _ 1 1 I IF I. I._ I 1 I I I I. 11 I I _� <br /> 1 1 �_ i -1 _.�_1 C-1 1 f-I-1 ( ( 1 �_1 1 1 <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type De th <br /> Sa Soil T e De th Soil T e De th Soil T e Depth Soil Type <br /> �. <br /> �1 _ Test Hole#1 __ __ Test Hole#2 _ <br /> Parcel' Diameter: I 9 in Depth: in Parcel Diameter: in -- <br /> ID the in <br /> TIME READING WATER DROP REFILLED <br /> .0 i - r• —_ TIME READING WATER DROP I REFILLED <br /> --- <br /> +'.o' a. i SS' <br /> � oS 3s <br /> 4.33�w S •9 o eS S 9 <br /> 9 , z <br /> I1' v� q `tS o.oi' J 9S <br /> 1-L %S- <br /> PERCOLATION <br /> SPERCOLATION RATE_ Bj min/in PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: mintin <br /> RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: - Phone: <br /> TEST CERTIFIED BY: Date <br /> Phone: Date _ <br /> OBSERVED BY(REHS): _ Phone <br /> Date <br /> EHD 4203 REV 11/2/09 ' <br /> PERC TEST RATE FORM <br /> (D <br /> r) <br /> O <br /> 1? <br /> N <br /> X1 <br /> O <br /> O <br /> v 00 <br /> Dq N <br /> (D 1 <br /> W <br /> I� W <br /> O <br /> W <br />