Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> <. ENVIRONMENTAL HEALTH DEPARTMENT <br /> • `I 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ,F <br /> PERCOLATION TEST RATE <br /> q <br /> / L- <br /> ADDRESS OR LOCATION: / A0/L� I!>- CITY: <br /> OWNER�N/AME: �� , AA , RV h+$ DATE:_./ <br /> APN: I b 9 —L90 - Q�f I'- - 0`7 APPLICATION#: Pay TDO L,+Z. DEPTH TO FIRST WATER:�Ft <br /> SOILTYPE: O /1 } —tet; <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> . . 1 . <br /> PERCOLATION TEST SKETCH--- <br /> KETCH 1 PERCOLATION TEST SKETCH TEST SK7ETCHH <br /> 2-MDIA PVC PIPE/ 2-IN DIA.PVC PaTj i <br /> 4•INDIA SOB,BORING 1 4-IN DIA.SOIL BORING <br /> —r'--i--t -- <br /> REFILLFOGHT '7S 1 REFILL HEIGHT r <br /> • SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth Sail Type Depth Soil T e De h Soil T e Depth Soil Type <br /> Test Hole#1 Test Hole#2 —771 <br /> Parcel: Diameter: in Depth: Parcel: Diameter: in Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> -3 <br /> r <br /> �F <br /> ,6 <br /> 3, 70 <br /> S 3 <br /> A61r O <br /> V-4 <br /> PERCOLATION RATE: < •�___minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTI REA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: O 8 Z Date _X <br /> TEST CERTIFIED BY: _ Phone: Z9- 0/ 9�7�_ Date <br /> • OBSERVED BY(RENS): GSiv�w Phon� ��53 — ,KfO Date <br /> EHD 42-0.3 REV 11/Tl09 // PERC TEST RATE FORM <br />