Laserfiche WebLink
SAN .JOAQUIN COUNTY <br /> o� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'l Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> `Cc{�iFOR/ <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: X73 , /YoR/N/VFIA/fotil g0AO CITY: �j-De Tnn! g zDS <br /> OWNERNAME: SHArZ_Y-,S aoLyW(45. L-_G DATE: 126ee er-x j5, Z015 <br /> APN: I�I Z'�JG O r��! APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: <br /> REMARKS: NO 60A)G- <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> E <br /> r <br /> i <br /> 4. -H <br /> - <br /> - i ill I Tg i I k ! ►—iT ► 1 <br /> a i i # .T�__.TIT� TTTT__1T <br /> I I <br /> I <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 th <br /> Diameter: S in De e Z in [Parcel:aDiameter: in Depth: /30 in <br /> o. <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> /D 30 3 <br /> 10:3z a 11. 14' — <br /> 00 P, 00 " -4, 492- / 8 it <br /> 3, , 36 3 .61 Z /, 2� / /, /O r <br /> _ L '' •02 J / p <br /> 3 3; 3� �. 3 't 3 / . Z3' // <br /> PERCOLATION RATE: 3 3 min/in PERCOLATION RATE: 3 S•T min/in <br /> RECOMMENDED SEPTICEA: S9V_ 1GPORT RECOMMENDE SEPTIC AREA: <br /> TEST PERFORMED BY: Z Phone: .1-d oa�/!o 5�,� Date <br /> Ti <br /> TEST CERTIFIED BY: Phone: p, Date <br /> OBSERVED BY(REHS): (1A Phone 2 �' �Il�'3(9(�� Date <br /> EHD 42-03 REV 11/2/09 PERC TEST RATE FORM <br />