Laserfiche WebLink
0� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> { 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: �� k C COM rt)Ck- 1?-t> . CITY: <br /> OWNER NAME: L-06-IAGF=1 LLG f C�.AiC* I�Dt S 19 DATE: /I-2-D-1 f <br /> APN: g13 0 - APPUCATION#: rn A" - �Cc�O�Z DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> C t <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-11N DIA.PVC PIPE' l..__....x... ._ 2-IN DIA,PVC PIPE./ -— <br /> 4-IN DIA.SOIL BORING :_ 4-IN DIA.SOIL BORING <br /> jf} 1I Y <br /> �........ ,........... <br /> a <br /> i Y <br /> ff <br /> REFILL HEIGHT REFILL HEIGHT <br /> • -- — _ - <br /> I �. <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3T I>12\ s1 0`I <br /> 3-4-0 <br /> if •• �'� 3,ref-�- h . i ! ._ - - <br /> 1� • •30 3.�5 p,c& 3 ;�� <br /> IZ .�1J 3. 411 o •fi�� 3c <br /> 12: 30 6 ,I r <br /> PERCOLATION RATE: —2_ minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC ARE . _ __ ___ RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY: ______— Phone: _�iU5--3�?Z Date <br /> --- — - — <br /> OEST CERTIFIED BY: __ ___ __� Phone: _ 3z]_Dl q,k Date <br /> OBSERVED BY (RENS): _ w�_____ Phone--____-__---- Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />