Laserfiche WebLink
Lilly <br /> l!YSAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> rA Z< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �'. "" • Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �4C.FOK�`P <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: 10�3 'v ' S4' P-4.• _/,`� W' e. CIN' <br /> OWNER NAME: S 1 c C 1 3-(x-""4 DATE: 10/7-3/M <br /> 2,0 <br /> APN: )2'7--0-3'D—Q'9 APPLICATION M SRW IM'7 5% DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> I t I i <br /> f 1 f <br /> PERCOLATION TEST SKETCHi PERCOLATION TEST SKETCH <br /> _.. <br /> 2"Diameter PVC Pipe <br /> i <br /> 2"Diameter PVC Pipe <br /> 2� <br /> 1 ....... <br /> Z� LI . <br /> _ _.. <br /> ........... <br /> Ar <br /> r 0.17'gravel <br /> ` �0.17'gravel <br /> Refill 9Level; —1 (91 q'1 T Refill Level: I <br /> I I <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth <br /> Soil Type Depth Soil Type <br /> 0 - 3.5 G( <br /> 3.5- 6 W swi <br /> 6- s C.& <br /> Test Hole# 1 Test Hole# 2 <br /> Parcel: ! Diameter: ct in I De the 7-.14 5 Parcel: Diameter: in I Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> q'.00 r - C1 •6 <br /> Dr > . igy --- <br /> 12:o0 Mfr ------ <br /> I V <br /> IV to 9.76 • 25 `{ <br /> I2 . 3o q_�� • 2�f • � I <br /> 12• Lt19 —C4, ,23 G. 5 <br /> 12 Z 2 <br /> PERCOLATION RATE: 3-moi min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 2Dq 36q 0375 Date 10,/Z3- <br /> TEST <br /> 0 TEST CERTIFIED BY: Phone: 209 3 2-1 -019 k Date 0 -'Z-3 -7-0 - <br /> OBSERVED BY (REHS): Phone Date <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 11/2/09 <br />