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r <br /> d <br /> 0 D <br /> Q <br /> O Xt N O_ <br /> Oi ~ Ln <br /> 77 .�o +ly 'p N <br /> O Lu <br /> rn <br /> O1613ASI Hazel l r+ to <br /> < T01000ne:(209)468-3420 Fax:17091464 r, - •r'7 r,,•„ r+ <br /> 0 <br /> O <br /> O ADOREgg O PERCOLATION TEST RATE rD <br /> RLOCAt1ON. M •� <br /> OWNERVI <br /> 7 APN: NAME �,, I - - atT: 1 Yt50 <br /> N <br /> r-h DATE: 5'Yv'1A N <br /> S <br /> d SOIL TYPE - Ar'Pt KATION u. - - —_____ <br /> DEPTH TO FIRST WATER-= Ft fD REMARKS: <br /> r* <br /> cu <br /> Ln LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> E <br /> EW <br /> -� IIfIII �� ;j' I ( CI �{,I:} IL I ,-I � �_ _ ;--• ;, 1 . � -. <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil Tyee Depth Soil T e De th Soil T e Depth Soil Type De th Soil T <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth: a in Parcel: Diameter in roeothen <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> It7'u) D-v <br /> 45 A.5 <br /> --T <br /> 1.10 4.16 .36 as <br /> IPERCOLATION RATE: bI' min/in PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> i TEST PERFORMED BY: Cru, mc�,<{MLAe Phone: Date 5 1 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(REHS); Phone Date <br /> PERC TEST RATE FORM <br /> I' EHD 42-03 REV 1112/09 <br /> rD <br /> n <br /> O <br /> -s <br /> o <br /> Ln <br /> ULl O <br /> rD O <br /> 00 <br /> 0 <br />