Laserfiche WebLink
oaa�l�. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> gff3=oR� <br /> PERCOLATION TEST RATE /' <br /> ADDRESS OR LOCATION: ;2('00E• LIB�P��( (Zp, ?.6fSo lOW4 4, A0 CITY: 64t,T <br /> OWNER NAME: Vlc A'w4- AFsV6"6�tE r C,O fi�ij�NIIG fC/�M1Of DATE: �-ZS- Z40 <br /> APN: 0— - ZO'AP LI ATION#: Pa 11 Ooo DEPTH TO FIRST WATER: �- Ft <br /> SOIL TYPE:_(,54/y Iv Lod Al Z S,4AI <br /> REMARKS: <br /> 0/L, 1,17Y e` <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES) <br /> LU <br /> I--ice- 1Ta f T_-T-�._-r_.--�__• --- 1 —I__-1-i_.T_ <br /> I <br /> SOIL PROFILE(IF REQUIRED <br /> Depth Soil Type Depth Soil Type Depth Soil T e _.Depth Soil T e Depth Soil Tvpe <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth: ?/ in L Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 8 •a° 2..13 <br /> oco <br /> os y :q'G .a <br /> I� v 3 .a � • v� 'L.�o <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: (2-1 RECOMMEND D SEPTIC AREA: <br /> TEST PERFORMED BY: _ WI I G� Phone: � —146�l Date _ L 9 <br /> TEST CERTIFIED BY: Phone: 4&1.> Date —k- Zo <br /> OBSERVED BY(REHS). Phone Date S <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FORM <br />