Laserfiche WebLink
aR4S�I.y`_ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202�029 <br /> NNW <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �IF�y <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 15751 E. Prouty 128500 N. Dry Creek -CITY: Galt/ ClemeQts <br /> OWNER NAME: Paul & Fred CaloSSo DATE: l'y`31 14 <br /> - <br /> APN:009-060-03.-070-01.-090-07.-080-10,-090-05APPLICATION 4 c02-o`7 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH _#- _ PERCOLATION TEST SKETCH <br /> 2-IN DIA.PVC PIPE/ -- 2-IN DIA.FVC PIPE/ <br /> 4-IN DIA.SOIL BORING -`? 4-IN DIA.SOIL BORING <br /> REFILL HEIGHT -- REFILL HEIGHT <br /> If <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type I Depth I Soillyper Depth I Soil Type I Depth I Soil TvDe I Depth I Soil T pe <br /> Test Hole#I Test Hole# 2 <br /> Parcel: Diameter: in I Depth: z / Parcel: Diameter: in I Depth: <br /> TwF READING WATERDRGP REFILLED TIME READING WATER DROP RF�ILLFD <br /> r <br /> Y/ <br /> /e <br /> r <br /> A <br /> O. L YV' <br /> 7 / �- <br /> PERCOLATION RATE: < fesmin/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI RECOMMENDED SEPTIC AREA: _ _ <br /> TEST PERFORMED BY:' Phone: Date _ G <br /> --- <br /> TEST CERTIFIED BY: Phone: _ ` 0 <br /> T -- �L'_L SC_ Date <br /> OBSERVED BY RE �^����' <br /> ( ) � �CIsz: x -- <br /> Phone Date Date 1 a / <br /> EHD 42-03 REV 1112M <br /> PERC T ST RATE FORM <br />