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r ADDRESS OR LOCATION. 16100 East Harney Lane Lodi Ca 95240 APN: <br /> OWNER: Mr.Tankersley DATE: - I L - 0S <br /> =' APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> f REMARKS: Parcel 1 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> d+} a <br /> � < i3A I <br /> SOIL PROFILE (IF REQUIRED) <br /> LthSoil Tye Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type <br /> i }_ <br /> _ TEST HOLE #1 DIAMETER: CC in DEPTH: 3,61 in TEST HOLE #2 DIAMETER: �D in DEPTH: ZZ12-i <br /> WATER WATER <br /> TIME READING DROP. REFFILLED TIME READING DROP REFFILLED <br /> r <br /> (1: 3 . 30 - z . � � }1_- 3D 9`Z . ZId <br /> �2 ner? 0.2 o 2C� Z - `7 <br /> 31) z ,9 L, S z .7z <br /> 3 z . 2„q Z ,7 S ..'39r - <br /> c5 3 : 310 <br /> tj n6 <br /> PERCOLATION RATE: l� min/in PERCOLATION RATE: a i min/in <br /> RECOMMENDED SEPTIC A RECOMMENDED SEPTIC_AREA: <br /> Fi <br /> /05 <br /> TEST PERFORMED BY: We-"17--Phone: �p Date: <br /> TEST CERIFIED BY: Phone: )7C/ � Date: -�(Cl( '- 0 <br /> i !v, OBSERVED BY ( EHS): Phone' l�, ��* '`� <br /> ,�, Date: <br /> EHD 42-02-003 PERC TEST RATE FORM is <br /> REVISED 5/7102 <br />