Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ' �- ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 96202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �ciFOR� PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: �oO �I E • LAIW-0to ,40-b CITY: ✓Y1�fi^)Ttz/A <br /> OWNER NAME: &tl Ey 1 l ArrE la-S DATE: <br /> APN: `1 APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> PERCOLATION TEST SKETCH ,—t... PERCOLATION TEST SKETCH <br /> ........_. .. ........... <br /> 2-INDIA. <br /> ...-- <br /> 2-INDIA.PVC PIPE/ ! ! I E 2-INDIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING 4-IN DIA.SOIL BORING <br /> i <br /> ; r <br /> i <br /> ........... <br /> REFILLHEIGHTI gRI.EFIILL HEIGHIT <br /> s-- <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: / Diameter: in I Depth: --�9 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READ NG WATER DROP REFILLED <br /> C) rd a <br /> o 3. 9 <br /> 9:66 14.31y 3`'f 3.73 <br /> q-' 30 12 3 q q.1;z <br /> o <br /> 4.35- , '�z 1 4,0 k <br /> J 1 vo 4. 30 : 22 4,C)9 <br /> 11 -30 ±)-I 10 <br /> ob 4. 3 <br /> PERCOLATION RATE: —l3,� _--_ min/in PERCOLATION RATE: _----_—_—__---minlin <br /> 'ECOMMENDED SEPTIC AREA:_--__—__—__—_— RECOMMENDED SEPTIC AREA: <br /> EST PERFORMED BY. -- .4 ����-- _ _ Phone: kCD_ Date �_— <br /> TEST CERTIFIED BY: --- - �N ------- Phone: Zy_311-01 9 k- Date ----- <br /> OBSERVED BY (REHS): _ _�� Phone__---__—__—_ Date — <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />