Laserfiche WebLink
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.sjgov.org/ehd <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LO``,,CATION:_L6W E LI�Tti{tZ 4-108" 0 LowEl2-S 9f6� '0 'gyp CITY: GPtu-r <br /> OWNER NAME: V � �Et tf2M�t�T Cl0 EMO _ SMtlM1 DATE: <br /> APN:W Ste— (p3 tl -0-1 00,�-_O o—O2APPLICATION#:_Pot-A O`}000-14 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I <br /> S <br /> 1 _ <br /> 1 i <br /> • : <br /> I � i <br /> , <br /> I <br /> I <br /> 1 i i i <br /> I-fAP <br /> ._ ..-r' --- ---- -- ---i ---- <br /> SOIL PROFILE IF REQUIRED) <br /> —Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole# (D Test Hole#2 <br /> Parcel: Diameter: in De the in Parcel: Diameter: in Depth: in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 00 <br /> 7 :ORS °0� <br /> �' '�•.__ v�" 2 .�� 11 'off 3 I�• I b 2 ° <br /> 12, <br /> 0-1 <br /> PERCOLATION RATE: • 7 min/in PERCOLATION RATE: �/. min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: I X'.� Phone: Date 7 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone Date <br /> EHD 42-03 REV 11/2/09 <br /> PERC TEST RATE FORM <br />