Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y ' ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �4�IFORa`P <br /> Q PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Z�7't ! 5 , 0/49M,10 W. CITY: Tly-,e7y <br /> OWNER NAME: nn DATE: <br /> APN: /fS—U9U - 3� APPLICATION#: 19N-Zo 4W6 2 DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> r4p4FAH <br /> �fl <br /> s 1 l r <br /> AtI� _ 1 I 1 _ ! I ° <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: o in I Depth: It y in Parcel: J> Diameter: o in I De the z—in <br /> TIME READING WATER DROP REFILLED _ TIME READING WATER DROP REFILLED <br /> +� <br /> 2,4�9- d' 1 a/ -49- <br /> 2- <br /> 49-2• .n$' : 3/ , io <br /> D ID GG - /O:; a' <br /> �° �•�`t ,off / 11/ ►, , pY► <br /> 10 <br /> 00 p A/ ? 1�14 eXo <br /> PERCOLATION RATE: -L- min/in PERCOLATION RATE: Z min/in <br /> RECOMMENDED SEPTIC AREA: lZi(w S RECOMMENDED SEPTIC AREA: 12, env Sr <br /> TEST PERFORMED BY: MN-6 1w Phone: 170q) 37Y-,�g/3 Date 12- , 1+ 7,0 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (RENS). Phone � � ��� Date f2-11 <br /> - <br /> PERC TEST RATE FORM <br /> ��— <br /> EHD 42-03 REV 1112/09 <br />