Laserfiche WebLink
pq�?N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t° 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �IFpRN PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: -2,0 6951 � M <br /> iA,-/Od 00. CITY: LI ND5d <br /> OWNER NAME: �Hi•1)p5q 1izof e , ! 10d DATE: /Z -/5- <br /> APN: 'p0 " ° APPLICATION#: PA I`1co2511 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: AI Le�L4.3 dp,ie ssi�xw' 4,-"-­ i!•'' {F+ .^+ /dc?' IeAfri.�i <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i ! <br /> 7-=i i <br /> ? <br /> : ( <br /> ' 1 <br /> r <br /> a <br /> , <br /> € F € 3 € - F <br /> + ' ¢--— <br /> ? I <br /> F._ I tom........_. <br /> T F1 <br /> 1 1 <br /> 1 <br /> + <br /> T� <br /> -- <br /> H--FT-1 <br /> A-4-1 <br /> - -- <br /> L. <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type De th Soil Ty.pe Depth Soil Type Depth Soil Type <br /> Test Hole# 1 Test Hole # 2 <br /> Parcel: Diameter: in [Ne—pth I D meter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 2/0 2-.9z• ,09 33 2 ass .498 <br /> _ 1 .00 ,9�. <br /> yob x:03 2•1_0 ab3' <br /> 10 � nom+ 2- 14017 <br /> ;gyp or 0 :6 �,�� ^.6► <br /> 30 f_¢ ,os- <br /> -00 �. .G>E Z.G /, 493 cis <br /> go <br /> 2'03 7 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA:_��I/' O RECOMMENDED SEPTIC AREA: I Z, oc 4F <br /> TEST PERFORMED BY: NI IIeG �L`'� Phone: f j 7`/��+b� 5 Date r <br /> TEST CERTIFIED BY: ! Phone: 33 t{-6613 Date <br /> OBSERVED BY (RE HS Phone Date <br /> EHD 42-03 REV 11/2/09 % PERC TEST RATE FORM <br /> /4 / 3 .U�5 <br />