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L__�__ _ <br />i Ir iii - <br />I <br />uuo cosi I-Iaieitert Kp�HUe, 5t0C n 7i gS U -t; <br />�.. % Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: <br />Www sigov org/ehd <br />im <br />PERCOLATION TEST RATE <br />Of ADDRESS OR LOCATION: 2� I I FfL� e' AMP po <br />OWNER NAME: _Ids U�t♦B I CITY: X4=1711:ul <br />APN: Ill - too -oS APPLICATION DATE: (o- 24. 1-7 <br />SOIL TYPE #: PA, 1-7 Go t-7 S <br />- DEPTH TO FIRST WATER: '� _P1 <br />REMARKS: 13o WQ+ � S o2 'x.ucTvre� w ��, ,r r BD , aAD," <br />I nrATInki <br />Test Hole # 1 _ <br />Parcel: ! Diameter. /o in Depth �� in <br />I .._-_..... In�nrco flanv REFILLED <br />3 :OO 2.7o _ <br />Z.5 /0 <br />__r-- <br />I_�� <br />/4 .2 a o <br />'10--- <br />L op <br />min/in <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY <br />TEST CERTIFIED BY: Ur <br />OBSERVED BY (REHS) <br />EHO 42-03 RE`/ 11/2,09 <br />Test Hole # 2 J <br />Parcel Diameter In Depth. In <br />r . <br />PERCOLATION HA 1 r-: <br />RECOMMENDED SEPTIC AREA: <br />Dat <br />EGGjREADat ZY'!? <br />Phone (2oa� Date <br />Phone:. Date ! v <br />Phone _ �� 033 FERC TEST R�1E FORM <br />