Laserfiche WebLink
Pala. SAN JOAQUIN COUNTY <br />�o.��.co <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 />0PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: Sfro E • f4U�eq 'e -P. CITY: A'C.erv-tpo <br />OWNER NAME: -P PR) 1 1> S A-9 ft I- 1 DATE: _ .3 ZZ <br />APN: 0 11 - 3 Zv - I S APPLICATION M SRVCJI T DU DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: _r7) 4M-4 :F/ ^Jf- S Aw ?]j t-r979"✓r'1 <br />REMARKS: <br />LUGA I IUN UI- I t5 I HULhb (SHOW WELLS AND STRUCTURES) <br />{{ i? i l{ a { 7{ 3 { <br />._.......:L 1..........a I 1_........—...••�t—i.•__...a—•I—..._...._ir_.__-i..........-t-....._. —.._ _ .. I—�- -�,—.�•••-. ........i--.._�-�. <br />PERCOLATION TEST SKETCH_ . PERCOLATION TEST SKETCH <br />i --- <br />2" Diameter PVC Pipe f 2" Diameter PVC Pipe <br />3 <br />..... <br />i.... <br />. 1q5 <br />4. <br />2.12' <br />FE <br />0.17' gravel �{ j 0.17' gravel --. <br />Refill Level: _ l % z I Refill Level: — <br />.._....... <br />;.__:t. ........... _.... _ ......... <br />f_.._ . ...................... ._ ....-_.. _ .._....... <br />_ ..-._....... ..... <br />3 <br />SOIL PROFILE (IF REQUIRED) <br />Test Hole # 1 <br />Parcel: Diameter: Lt in I Depth: Z.I V <br />READING <br />WATER DROP <br />REFILLED <br />�yTIME <br />Ot . 0 0 <br />17r V <br />---------- <br />. <br />Test Hole # 1 <br />Parcel: Diameter: Lt in I Depth: Z.I V <br />F SOLATION RATE: S. t min/in <br />Kt� OMMENDED SEPTIC A <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): �! ; ;;� n (pc✓1_, a ; .i <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: 0-0q) 3 Edi — 03 S -Date '31112 -?- <br />Phone: <br />1 22Phone: 204 3(v9 -01_K' Date <br />Phone �ZL4,' (Z r"1- - 0511 Date 3///72 <br />EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />READING <br />WATER DROP <br />REFILLED <br />�yTIME <br />Ot . 0 0 <br />17r V <br />. <br />C• <br />a <br />JLLL <br />L•7 <br />10:0 <br />r <br />.5 <br />�l•5 <br />10:70 <br />Dry <br />X0 <br />4.53 <br />11:00 <br />11:30 <br />5.(1 <br />5.05 <br />Li • 53 <br />Lf - Lfq; <br />11,00 <br />5.00 <br />•5Z <br />14.S <br />12,:70 <br />I 00 <br />5.Oci <br />57,0u <br />9' <br />. LiR <br />L{. 5 <br />F SOLATION RATE: S. t min/in <br />Kt� OMMENDED SEPTIC A <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): �! ; ;;� n (pc✓1_, a ; .i <br />Test Hole # 2 <br />Parcel: Diameter: in I Depth: <br />TIME READING WATER DROP REFILLED <br />PERCOLATION RATE: min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: 0-0q) 3 Edi — 03 S -Date '31112 -?- <br />Phone: <br />1 22Phone: 204 3(v9 -01_K' Date <br />Phone �ZL4,' (Z r"1- - 0511 Date 3///72 <br />EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />