Laserfiche WebLink
S 'N JOAQUIN BOUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3424 Fax_(209)464-0138 Web:www.sjgov.orglehd <br /> Efi:aita <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: s"l 7• w 1Y11�� <br /> clTv: y +r <br /> OWNER NAME: 4 ATE. 4" <br /> APN' APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: ,!1 �. <br /> REMARKS: [Q B. 2sev%I O . B21- ROD' <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> F <br /> PERCOLATION TEST SKETCH i _f PERCOLATION TEST SKETCH - <br /> -r--i -I <br /> 2-LN DIA PVC PIPE) <br /> 2-IN DIA PVC PIPE/ <br /> 4-INDIA SAIL BORING I { i 4-IN DIA.SOIL BORING E <br /> SL-1 <br /> t <br /> L = <br /> REFILL HEIGHT -- REFILL HEIGHT '- <br /> SOIL PROFILE IF REQUIRED <br /> Depth Sail Type Depth Soil Type De th Soil T Depth Soil Type De th Soil T e <br /> Test Hole#9 Test Hole# 2 <br /> Parcel. Diameter: in Depth: in Frcel: Diameter: in Depth: in <br /> TIME __BeREADING WATERDROP REFILLED TIME READING WATER DRop REFkLL'E} <br /> [�K <br /> Lb <br /> •0 �• 1(,O <br /> T <br /> R�t.'DO .p O<<(a p <br /> �f: U fs0 <br /> ( ( "00 Li • s 0 <br /> ,zu <br /> PERCOLATION RATE: _minlin PERCOLATION RATE: _ mil e.e <br /> RECOMMENDED SEPTIC AREA: _ RECOMMENDED SEPTIC AREA- _ <br /> TEST PERFORMED BY: _ Phone:,2n7s221�- Data <br /> TEST CERTIFIED BY: _ _ Phone: Date <br /> OBSERVE© BY (RENS): _ Phone_lo9 Date •� c <br /> EHD 42-03 REV 1112/05 PERC EST RATE FORM <br /> A <br /> M <br />