Laserfiche WebLink
SAN JOAQUIN COUNTY ri � 2 - <br />ENVIRONMENTAL <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />PERCOLATION TEST RATE <br />TION: ' v r CITY: <br />�p ,, _c, Q DATE: / ! <br />�vC? - Ci fjp APPLICATION #:f�(.L� D l DEPTH TO FIRST WATER: Ft <br />I OrATION C)F TEST HC)LFS (SHOW WELLS AND STRIICTIIRFSI <br />t PROFILF (IF RFOUIREDl <br />---------- <br />pTest Hole # 1 <br />cel: ' 1 Diameter: ,,, in I Depth: 300 in <br />® <br />F <br />DRO - <br />l0 ; cx� <br />t3 ,Gi o ,v <br />1d `.35 <br />10 <br />—C),05- <br />. o o — <br />lli:bS <br />, C. <br />3s- <br />� 3 2 o <br />D <br />160 , 1 2- <br />-- <br />; <br />e [ <br />LT_i-_ <br />I <br />- <br />!_._'- <br />t <br />T.. <br />F-1 . <br />I <br />_ <br />Z_.� Imo.. <br />-1 <br />F* <br />r-- - <br />, <br />- <br />hP <br />I <br />t PROFILF (IF RFOUIREDl <br />---------- <br />pTest Hole # 1 <br />cel: ' 1 Diameter: ,,, in I Depth: 300 in <br />® <br />.WATER <br />DRO - <br />l0 ; cx� <br />t3 ,Gi o ,v <br />1d `.35 <br />10 <br />—C),05- <br />. o o — <br />lli:bS <br />, C. <br />3s- <br />� 3 2 o <br />D <br />160 , 1 2- <br />:OLATION RATE: min/in <br />)MMENDED SEPTIC AREA: <br />PERFORMED BY: �� - l/jw PU P <br />CERTIFIED BY: <br />:RVED BY (REHS): <br />-03 REV 1112109 <br />Test Hole # 2 <br />Parcel: 1 Diameter: in De th j q,. in <br />TIME <br />READING WATER DROP REFILLED <br />l0 ; cx� <br />t3 ,Gi o ,v <br />1d `.35 <br />10 <br />—C),05- <br />. o o — <br />lli:bS <br />, C. <br />3s- <br />� 3 2 o <br />D <br />160 , 1 2- <br />ERCOLATION RATE: _ min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: 201 -3(el3701 Date -7 <br />Phone: Date <br />Phone Date f�2 <br />PERC TEST RATE FORM <br />1,.e4 + ks V"e_Ack1 yv� Av C.&� c ?� V&�C- <br />