Laserfiche WebLink
:k 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 /> ADDRESS OR LOCATION: 10655 dO,eTN .TA 600 OgACK 90AD� CITY: Z <br /> OWNER NAME: WG L S--L-I WINEtZ�_ __DATE: 5�m �r_mF- Eg- zooms <br /> APN: APPLICATION#: IV LI DEPTH TO FIRST WATER: _Ft <br /> SOIL TYPE: S_ 1"� 1E.S"y I _ <br /> REMARKS: 1 C I A L RG. s 1: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> i ! f <br /> ... �.,., a ..f....... .. <br /> — <br /> _ _ , - <br /> ! <br /> . t <br /> y <br /> r.. <br /> F3 <br /> t <br /> .__r_ <br /> SOIL PROFILE(IF REQUIRED) 5 las I - P4.6 0 F p Depth Soil T e Depth Soil Type Depth I Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: tDiameter. 4.!5' in I Depth: 10 in I Parcel: Diameter: in I De the 3V& in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> S 3' 3 7 <br /> 10, l0 0. q f, 0 f/ 13-03 3.3(v 2, ' <br /> O 0. ' D. &0" :00 2. A44"/— ? 6' <br /> ff 3 G 0. " --- . 3 32-" 9. 76,1 <br /> 12:040 .(o 0 '! '9,SS 12:093 Z-05' A? 2.74' <br /> :aro lr 2:30 2- N' ZD' <br /> /:06. 0. ' O. 3/" : 4' it 70' <br /> P3,60 <br /> PERCOLATION RATE: „ : mintin PERCOLATION RATE: _ _ 27: inlin <br /> RECOMMENDED SEPTIC AR A: P- o�z RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ! Phone: -/ p Date1-4- op <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY{R Phonclia�l� L �s3ate r/ �- <br /> a <br /> EHD 42-03 PERC TEST RATE FORM <br /> 7!9/04 <br />