Laserfiche WebLink
F <br />RECOMMENDED SEPTIC <br />AfZFA- <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS):J�.` <br />p4u18 _._ <br />Stockton, CA 95205- <br />-x.-, S ov.org/ehd <br />.y 1868 East Hazelton Avenue, <br />Tefep <br />honer868 468-3420 Fax:(209)464-0138 Web:' N 1g <br />i ATION TEST RATE <br />�`' • PERCO ob 1 <br />clrr: � Z <br />DATE: <br />Seo <br />ADDRESS OR LOCATION: ��^ > J N v C-0_ ? n <br />t <br />�, N E ��,,� i p 5-0 "1 DEPTH TO FIRST WATER: ---- <br />OWNER NAME: <br />APPLICATION ION 1111• <br />of/Q �?Q�•�� <br />APN: v�1 <br />r�E 17 <br />SOIL TYPE: N <br />REMARKS: <br />�•31T <br />Z,s2 <br />Refill Lev --1, • • 1 <br />MRCDUlTM TEST SKETCH <br />2- DWmfm PVC Pipe <br />--+--`—I'— PENWurwM T61 SWCH <br />2• elxvwMr PVC Pipe <br />i--t"'T- —'� <br />0, 01 ¢eVei <br />ravel -�—�{{ <br />-- <br />EHD 42-03 REV 11/2/09 <br />PERCOLATION RATE: <br />minnn <br />RECOMMENDED SEPTIC AREA: <br />Phone:��� 36Q"035 <br />Date <br />Phone: <br />Date <br />Phone /: L (, ` 5--> 4 4 <br />Date <br />PERC TEST RATE FORM <br />