Laserfiche WebLink
SAN JOAQUIN COUNTY <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 /> PERCOLATION TEST RATE ' <br /> ADDRESS OR LOCATION: 1I o6 l6'• r1C �f - .'CrrY: �GC�C7 ra <br /> WMERNAME: l tku,Z , ' Ce.+ I10 DATE- <br /> 1 <br /> APN: — [5G APPLICATION A: C1 'I. _ DEPTH TO FIRST WATER: Ft <br /> SOIL TYPE: I6wSq n- <br /> REMARKS: Ci c_i t►-0 l:ts f ri.t• .t«� J� 4. 64.f►`-` " Hoe— 4n'A".'-d Oi L"'.'f= <br /> tA co ra !,t J3j' IIr ,C- �t�. 7ss C3 <br /> 1I!<I[■►1!if �'d�LC�I►` f 1e iL 14��,♦r .:' . "7n 4 MCA I ny� <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> V A t -1 �T <br /> } _ <br /> i <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type Depth I Soil Type De th Soil Type Depth Soil Type Depth Sail Type <br /> O 13 un N:1 F <br /> i Cis gi <br /> Test Hole# 11 '7 Test Hale#2 3S rn _ <br /> Parcel: I Diameter: _ in Da th•_)"�_ n Parcel: Diameter: in De the in <br /> TIME READING WATER ORQP REFIU,ED TimE l REw1hx3 _ WATER DROP REFILLED <br /> G G. l�• -� 11.E 5. d-3 0' C'3 J*P)-3, 7 <br /> r3 o,ca3 -- <br /> �p4U 3,7IT 0 -U ..•-� <br /> zr <br /> /C)fit: c� `� t' [ :- 7 Q 3 <br /> PERCOLATION RATE: mintin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: _ Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY (REHS): Phone Date <br /> EHD 42-03 REV 1l/M PERC TEST RATF FORM <br /> �� I <br />