Laserfiche WebLink
pq�INSAN JOAQUIN COUNTY <br /> �o.�•t-C' <br /> r' z ENVIRONMENTAL HEALTH DEPARTMENT <br /> yw! <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> A� PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CITY: <br /> OWNER NAME: ^ 1i'*'��'' a DATE: <br /> APN: /Oc APPLICATION#: )RA ����7 DEPTH TO FIRST WATER: 9 Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> �— <br /> _. -........ <br /> i ! <br /> �—II } <br /> ......... ...-- ---— .___FR.] <br /> -- ......._1 ._.__.— .._-.. --- ......._ --- <br /> __._I <br /> I - - s 1 I ; <br /> t--._._._: { k — <br /> L-1 <br /> 5 <br /> 1—�.._._ aa yam—!' <br /> -- <br /> i i i1 i i <br /> I I , F , <br /> T <br /> rn 1 <br /> i a <br /> } ! <br /> - -'- - �- - --�--- - i �-,- -�-�----- --i-r- -- -` -� -- - <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: 3 1 Diameter: in I Depth: Z- in Parcel: Diameter: tl in Dept in <br /> _ TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 8 '4"-' 2 . `( -0— 8 03 2.3- -40- <br /> tO8 . 33 2, oy <br /> 2. <br /> g � 34> 2. .vs --- g : 33 g S— ,o' <br /> /O 04.7 2 4-2 ,o(o A2:03 2. 1-11 o G <br /> :3d 2,?y .vS io' 33 2. <br /> P .30 Z e5 o f <br /> /2•:6Jc> 2- 2. L' o <br /> PERCOLATION RATE: 17 min/in PERCOLATION RATE: 4Z min/in <br /> RECOMMENDED SEPTIC AREA: 1Ztooc RECOMMENDED SEPTIC AREA: j2 C)01 <br /> TEST PERFORMED Y: I I Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS . v Phone Date G/- <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br /> _7. K5 <br />