Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> i <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> p <br /> PERCOLATION TEST RATE <br /> 4DDRESS OR LOCATION: l% i , .54, P-+. �� UI, �i2i :� e- CITY: <br /> OWNER NAME:— `S tom' r'£+ 1 C a'aA d DATE: 10/1-3/2r <br /> 4PN: U -^ " " �—APPLICATION#: fl DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> , <br /> ... <br /> s r 4 <br /> if i A110N 7Fb7 SKl TCII _._...� <br /> PERCOLATION TEST SKETCH <br /> 2*OWMeW PVC PW 21 Di71mpto7 PUC Pipe <br /> ......_._ .2A 1 > <br /> �,,,,,� .�air��a "• ,�air ova . <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth.___I Soil Type Depth Soil Type Depth Soil Type Depth Soil^Type Depth Soil Type <br /> _ <br /> 3 <br /> 6--1, rlx <br /> Test Hole # 1 Test Hole#2 <br /> Parcel: I Diameter: 'L in De the -.'Wt Parcel: Diame#er: in ( De the <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 36 <br /> — - <br /> 1 <br /> t ., I <br /> 2-3 <br /> 'I" OLATION RATE: 1 minlin PERCOLATION RATE: min/in <br /> Rf--,jMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> i'EST PERFORMED BY. . e- Phone: 2.0� 30 0 3*�5 Date I(D Zo <br /> I EST CERTIFIED BY: t Wit, Phone: 7 oq a -o I'l i Date I0'-'2_3 -?-t) <br /> )BSERVED BY (REHS): Phone Date <br /> IjD 42-03 REV 11 iZ09 FERC TEST RATE FORM <br />