Laserfiche WebLink
/ P�uINSAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> K 600 East Main Street, Stockton, CA 95202-3029 <br /> r Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I IR�-2 4l- 5 • LA-1^/i u i C e CITY: E SGPCt-D/J <br /> OWNERNAME: C-WXIiST/nfA A-9- vtOSIN)O DATE: 1//(t,ry <br /> APN: 1-2-1) 4- 040 - 04•I- APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLSAND STRUCTURES) <br /> PERCOLATION TEST SKETCH ;_�- I PERCOLATION TEST SKETCH I <br /> C 2-IN DIA.PVC PIPE/ i- 2-IN DLA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4•IN DIA SOIL BORING <br /> AV <br /> t <br /> 3.til <br /> y. <br /> REFILL HEIGHT. ... ' L....a-. I„_i I F=L HEIGHT <br /> 1 i . -- <br /> _. i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth I Soil Type I Depth I Soil Type Depth I Soil Type I Depth I Soil Type <br /> Test Hole # 1 Test Hole# 2 <br /> Parcel: If I Diameter: 4 ” in Depth: 3. 1 Y Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 76.6c Gm <br /> lc 30 <br /> ! UID 3=$ 8 3 ,(0o <br /> 3 S-�:' <br /> 0'3c 3•SG �S 3 �� <br /> 3✓ Y '19 L <br /> 'Do 90 <br /> PERCOLATION RATE: _— Sr 3.3 --__minlin PERCOLATION RATE: ------ minlin <br /> COMMENDED SEPTIC AREA:-- RECOMMENDED SEPTIC AREA: -- _ <br /> STPERFORMEDBY: _J c _ Phone: ° 8 Ges-cryo_ Data <br /> TEST CERTIFIED BY: —_ Phone: 2oy-3Z9-o!q& Date <br /> OBSERVED BY - Phone------- Date <br /> EHD 42-03 REV 1112109 r PERC TEST RATE FORM <br />