Laserfiche WebLink
y 41ry, SAN JOAQUIN COUNTY <br /> "`ter 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 /> t �4�IFOR•` •• <br /> PERCOLATION�TEST RATE / <br /> ' ADDRESS OR LOCATION: \E f•''it,i U n� j`-d �QI CITY: L. CL I <br /> OWNER NAME: I79-Y'C 1Av>.Y\ DATE: �, ,., <br /> APN: f a -- l2 <br /> 2 lc) -• 1 fn APPLICATION#:�A--I � - �U DEPTH TO FIRST WATER:�_Ft <br /> SOIL TYPE' l 1 C, - <br /> I <br /> REMARKS: <br /> ' LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> -FH--FH- M F-EF <br /> FTI F[R-[TFU <br /> a. ^� i_ � _. i ...... <br /> —_ j — <br /> — <br /> — <br /> r- i-I I I I I--�-� -•;--! �-i-; -� � -�I-j j j-�-; � Ir-- �C"-� ` -�--- i-"I , . I <br /> SOIL PROFILE (IF REQUIRED <br /> ' Depth Soil Type Depth Soil Type Depth Soil Type I Depth I Soil Type I Depth Soil Type <br /> I <br /> tTest Hole#.V Test Hole#2 <br /> Parcel: Diameter: in De the in I Parcel: Diameter: in De the n <br /> ' TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> s -� ; a(p ila� — a <br /> , :s( f . ga .oa . <br /> 8 : atm 1.. n <br /> 8 <br /> 1 • <br /> • I. 8 (0 QL I, <br /> In , 5 R a I ,13 <br /> If 1 93 0 , 00 <br /> �PERCOLATION RATE: 0. 66 minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: _ Date <br /> TEST CERTIFIED BY- <br /> Phone: Zoj `/'•`- Z � Date �Z <br /> ' OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 REV 11/1/09 P RCT ST RATE FORM <br />