Laserfiche WebLink
1 1 1111-7!! iii 111 i i I 1 1 <br />CV) <br />-J <br /> <br />Test Hole # 1 <br /> <br />Parcel: Diameter: LI in Depth: 140 in <br /> <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY:/d1-1-1-7t-et, - <br />OBSERVED BY (REHS). <br />EHD 42-03 REV 11/2/09 <br />min/in <br />TEST CERTIFIED BY: <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazeiton 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 LOCATION: a Li te 1\1 <br />OWNER NAME: E-..Nr‘ <br />APN: - 0 LI ("3' -7 Lo C APPLICATION #: .5SOD'C??3 S <br />SOIL TYPE: 13 C L (1-V-Y1 <br />DEPTH TO FIRST WATER: Ft <br />?•Nrs <br />rr) I <br /> <br />CITY: ex\ <br /> <br />DATE: <br /> <br />REMARKS: <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />• <br />SOIL PROFILE (IF REQUIRED) <br />Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br />C - ' ,..) <br />TIME READING WATER DROP REFILLED <br />li-uie i)g-Y 1-1. 30 <br />(DN: 10 ti. 55. 0-15 H 15 <br />4 ,53 0.-.3c) 4,34 <br />1 ... lc) 1-1- 55 O.. al 9,3 D. <br />LI.XS 1:40 \-i- Sq <br />,1.10 (-1.53 O. P) 4 32 <br />e); Lio Li . tp 0 ,Vo , <br />3'.to 1-4,55- <br />-3; Ho U. si <br /> <br />Test Hole # 2 <br /> <br />Parcel: Diameter: in . Depth: in <br />TIME <br />READING <br /> <br />WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: -77c)- 073 Date q/Z3/62.c) i <br />Phone: Date <br />Phone (?,--,)) — Date I/14)/2 -2- <br />PERC TEST RATE FORM