Laserfiche WebLink
,CLwy SAN JOAQUIN COUNTY <br /> •2 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> � a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: C'� 42 f-e- 1b KI Ll-e— CITY: �--x'! 01 <br /> OWNER NAME: y{ DATE: 7 -/7 <br /> APN: 3 -_Q ,� O �J APPLICATION M I/T r-• 13o 0 Z 2-1! DEPTH TO FIRST WATER: SFt <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> 64 <br /> FF <br /> r u <br /> AZ . <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type I Depth Soil Type I Depth I Soil Type,I Depth Soil Type <br /> C 11 <br /> _ y- <br /> ti <br /> - Test Hole# 1 4 Test Hole#2 <br /> Parcel: Diameter: L in Depth: in Parcel: Diameter: in De th in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0" 3c 7 14 — 3 O <br /> ao V 2 ✓ 23.-76--- <br /> -7 <br /> 3.7-7 3 z_ 0 c7 -Z 3 <br /> 2 ;ov 3. 7 0 2– <br /> 3v 3 S0 . 0) 2 .' 3Z j> 10 3, a <br /> ioa O — ' 0Z- r 3 <br /> G4 a 6.::2 3 •7a <br /> PERCOLATION RATE: )i tt min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: <br /> - TEST PERFORMED BY: Phone: Z/a 8 Date �T— /:Z -'-Z-t_ <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone �; f ,L Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br /> 2 'OD — 3,81— el— ,J/� Z:�- -�y1y— �, � <br /> Z: 3.81 -' -0' t 2:3Z <br />