Laserfiche WebLink
a�+n. 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 /> 6R�`P• <br /> 2 �PERCOLATION TEESTj RATE T <br /> ADDRESS OR LOCATION:�,32SS 1,.,, t�(� l/Y 1V t`7L YI D�'1 t'�� CITY: _ 1 !n C <br /> OWNER NAME: h-" I 'Ak f �� d" i.Je'k'(r�t C-(A 1 �1 �-f-Is DATE: �S! g I I <br /> APN: -)6 -rrk `O - O 3 <br /> APPLICATION#: `� 1N 00 T'1c� 1 L DEPTH TO FIRST WATER: Ft <br /> .E• <br /> SOIL TYPE: Ll�{ O - ( `C 4 644.E) �t 1 2V aw-A SLLo,�t w/4;,1 T ( t i g S IOCyS <br /> REMARKS: <br /> N LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> rn <br /> j FH T <br /> V-� /io -r—1 ! I <br /> 41 <br /> , <br /> I ; <br /> C <br /> s <br /> . p . <br /> _ s1—f I I i—f-- I--1 T�(7 1-1-1 FT71 1-i T I 111- 1 f 1 <br /> 1 - 1 I 1�1_� FTI FI T-T 1 I. 1 1 1 1 I 1 1 F! 1 I 1 .1 1 1 <br /> Wets v' <br /> II 1 _' -If � I-- i -,I � �-- �-� -1 � - -. j _. �sli - •111 LI <br /> SOIL PROFILE IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T eDe th Soil Type <br /> Test Hole# 1 Test Hole#2 <br /> Parcel: Diameter: in Depth: in I Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> I <br /> - t <br /> lots q <br /> ioh� 320 6 . 2 t v <br /> tS 21 0o 1111(c <br /> 12 , <br /> - I S v5 c <br /> PERCOLATION RATE: 15 i o min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: (,1 �'b1Gi r2{ �'�` Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS): 2 Phone Date <br /> EHD 42-03 REV 1112109 PERC TEST RATE FORM <br />