Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> - � ENVIRONMENTAL HEALTH DEPARTMENT <br /> °Q 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> G� q n <br /> ADDRESS OR LOCATION: r 1� '�` """ CITY: ✓v <br /> OWNER NAME: 2Lf;(_' l Y olf1ro- k — DATE: O !�' <br /> APN: Q�Q I f I eq C2 _ APPLICATION#: DEPTH TO FIRST WATER: L7 Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> n F F H F H F L[E Ml AT Fn' ITIE-1 <br /> - k <br /> ft� <br /> EFF" 7LIF EE U-1. EF. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: Diameter: V in Depth: in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> o b <br /> �• tto 5.25 0 .-75 - <br /> �� S' 0' 6 - b' ' o - - - <br /> -3- q-0 5. cam. 5 U o <br /> I <br /> PERCOLATION RATE: 2 O min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): �i ;�, � Phone j Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />