Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> w ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Haaellon Avenue, Stockton, CA 95205-6232 <br /> I!'&Asphone:(ce)468-3420 Far:(209)464-0138 Web:www sjgov org ehd <br /> PERCOLATION TEST RATE <br /> Aaartm 0*LOCAT1 W Z 3-1-o 1 C tt R V> CITY: t Irw+�nn L <br /> 091MM%AM, « vti-"*j -.....__ PATE: <br /> Apw TL` - 3 S' APPL"TkOk s: 5 P,2- 0 I t7EPT1i To FIRST WATER: <br /> ago&rm .,_ G C.o w► G�t <br /> LOCA71ON OF MST HOLES WELLS A14D STRUCTURES) <br /> sou rerna�u+a.near srora� .... <br /> r ftnoww wt P" r o w om MC Ow <br /> _.._--- . ....... <br /> .PROF#LE itEout D] <br /> Sod T ih Soil T Depth Soil T De th Soil T Soxi T <br /> LAL <br /> Teat H+v�e 1 _ Test Hole a 2 <br /> _................_.........._. ._ __--..... _... .. Y <br /> Pa 3: Dials +. in Parcel: Diameter: in I <br /> ...._ ..........__........._.. _.... -- . .....— <br /> 20 LI, <br /> .5'I .� <br /> . <br /> _W_�___ ................ ._..___ <br /> q. <br /> � . �t�t 3 <br /> t <br /> _ - <br /> . ...................... <br /> OLA <br /> TION RATE: c .r mlnfin pERCOLATION RATE: minlin <br /> RECO ENDEDSI`PTIc RECONi1 ENU D SEPTIC AREA: <br /> TEST PERF�IEDr 8Y: PhOne: 3 �� 03 ate <br /> TEST CERTIFI Ea BY: Phone: Za� 3b r1_p3"7 l Date <br /> OBSERVED BY(REHS); <br /> Phone �ts a - Date _=! Z' _ <br /> M4 c TIE ST RATE FORM <br /> i 4245 REV 1 tIM <br />