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ADDRESS OR LOCATION: 32 35� �� �+ j3 I �ucy,Cf� APN: Z SS- f50 --COBS <br /> OWNER:T�IYW DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: 4hour test 1hour test <br /> 30!(12'Last Water Drop) 101(12Last Water Drop) <br /> Dee less than or=30 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) d $ha1Iowlessthanor=60 <br /> ( �o <br /> SOIL PROFILE (IF REQUIRED) Will 5.lid <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: l in DEPTH: y` in TEST HOLE #2 DIAMETER: Ill DEPTH: in <br /> TIME READING DROP REFFILLED TIME READING WATEWATER DROP REFFILLED <br /> j.50 5.0(0 <br /> 10"50 <br /> 0 3C) <br /> LA G� <br /> iz'30 <br /> PERCOLATION RATE: c minim PERCOLATION RATE: minim <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> t <br /> TEST PERFORMED BY: Phone:(209) 1qj2Date: <br /> r TEST CERIFIED BY: Phone: �l>�_ _)7� Date: Q_G _0 S <br /> OBSERVED BY(REHS): _ Phone: Date: c/�L�_65 <br /> EHD 42-02-003 PERC TEST RATE FORM I <br /> REVISED 5/7/02 <br />