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Site Address: 13822 S. ESCALON BELLOTA <br />Date: 6/22/2018 <br />34 <br />Telephone: (2sT- <br />Q9) 4f8-20 Fax: 1209) 4b1-0138 Web: www <br />PERCOLATION TEST RATE <br />l-onJ <br /><. ESC ytLonl HELI-D7A <br />GIN: ESGr`t <br />DRESS OR LOCATION: 1382 i tN EDIx DATE: <br />iINERNAME: JArvg-F bvfLL_V,7 /LcN�L� 3� Ft <br />DEPTH TO FIRST WATER: <br />N. 7-01 2-O -- Cil APPLICATION N: <br />NL TYPE <br />PERCOLATION TEST SKETCH <br />.IN DIA. PVC PU'I: <br />J- IN DI -V SOIL UURING <br />3 �I <br />r <br />REFILL HEIGIfr_- <br />_ 4 <br />TOLES SHOW WELLS AND STRUCTURES) <br />11 PERCOLATION TEST SKETCH <br />S•IN DIA_ PVC PUT/ , <br />11 1 i 4 INDIA. SOU. BORING <br />I -E <br />f — ` 3.4, <br />--T- <br />i <br />FFT <br />Sr i— — I RFFIl.L HEIGHT o <br />SOIL PROFILt IF REQUIR to <br />Depth SOII T De Ih S01 T e Depth Soil T e De h Soll T e De ih Soil T <br />Test Hole # 1 Test Hole # 2 <br />Parcel: Diameter: in Depth: Parcel: Diameter: in Depth: <br />I I l-, I <br />READ'NG <br />1NATERDR— <br />REFILLED <br />o;/S RM <br />R <br />– <br />d.g'l <br />/,5;i6 <br />4 I <br />e3 <br />3SS <br />Il / S <br />+41) <br />E S <br />S7 <br />/I ''f <br />+o8' <br />l <br />3 r,y <br />n <br />4.17 <br />;. S3 <br />aSD <br />_ <br />_S,� <br />3.2-5--- <br />1• > r, <br />1 <br />L <br />3L� <br />Sv <br />3 7 tJ <br />p <br />7 b <br />IERCOLATION RATE: _ \ ZL.)__--__—__ minlin <br />:ECOMMENDED SEPTIC AREA: <br />EST PERFORMED BY: —%moi FJ cc o <br />ESTCERTIFIEDBY:__- <br />BSERVED BY (RENS): <br />D 4Ni3 RE V 11rLD9 <br />TwE <br />READING <br />WATE,DHC'-' <br />RE,Ia. L'. <br />o.5a <br />3 7a <br />t <br />30 <br />3(.2 <br />Jz <br />Jct <br />1:s� <br />3s <br />,34 <br />3-15- <br />�� <br />aSD <br />3. X <br />.3.3 <br />3.2-5--- <br />-� RH <br />3,G <br />3,bD <br />Sv <br />3 7 tJ <br />p <br />7 b <br />rCI%I ULA I IVIV KA 1 t: O/s-� V --__—_ minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: )U'LBIW Date [./•} /.r <br />Phone:Date <br />Phone---------- Date ----------- - <br />PERC TEST RATE FORT <br />Record ID SR0079303 <br />Naseem Ahmed, Environmental Health Specialist Page 3 of 3 <br />