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.DDRESS OR LOCATION: 2Z5 Fact HomaatPadJRQad- Tr 95304 APN:_Z39 160-03 A239-160-04 ". <br /> 7WNER: Mr. Henry Tosta DATE:___ �r✓ <br /> .PPLICATIONM-__E&-04-4 65DEPTH TO FIRST WATER: ft SOIL TYPE, <br /> _,T, <br /> :EMARKS: Parcel <br /> LOCATION OF TEST HOLES (SHow WELLS.nNo STRUCTURES <br /> ' — I I I I I - <br /> OIL PROFILE(IP REQUIRED) <br /> De th I Soil Tvn^ I De th I Soil Tvoe. I De to I Soil Ivpe I Oe th Soil TvDe I Pe th 1 6o0 T e <br /> �_. <br /> 7 y} \ c <br /> - 1t <br /> EST HOLE#1 DIAMETER: 3 in DEPTH: 3---Ql,IW TESTHOLE#2 DIAMETER: In DEPTH: in <br /> WATERWATER <br /> TIIKL READING DROP REFILLED x`IhD2 READING DROP REDILLED <br /> I 1 <br /> 0 .1 (D - F- <br /> �s <br /> ZL14. <br /> If —7 TD— C-) . 0 <br /> l ; W 20 0 . 0E <br /> PERCOLATION RATE: �+ <") �T min/in PERCOLATION RATE' _ nuo/in <br /> RECOIvLN[ENDkD SEPTIC AREA:' RECOMMENDED SEPTIC AREA: <br /> ~� Phonc: Date <br /> TEST PERFORMED PY: / <br /> TEST CERTIFIED BY: Phone: _/ Da tc ` �— <br /> OBSERVED BY(REHS): Phone �6 -35� Date Q� — <br /> PERC TEST RATE FORMIc <br /> EHD 41.01-00] <br /> REVISLD 5/7/02 Y, <br /> 0, A114- <br /> 0/00 39Vd 08IAN3 NOSN3QNV 1I3N 8LL069£60L LE:91 5002/t?T/£0 <br />