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-0cf) <br /> o <br /> 0 C <br /> Q_ <br /> CD <br /> CD <br /> � (n <br /> . <br /> Z <br /> c/) C::) <br /> a M <br /> b>a m o <br /> --I _ <br /> 1868East HazeltonMENT <br /> Avenue,Stocktrn,CA 96 Z v <br /> Telephone:(2091468_'420 Fax: 091 A6 12 205-5232 <br /> '�l.�R"•� 4-0138 Web:irurav sl9o�or31?hd - <br /> PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: Q <br /> - "` <br /> OWNER NAME: - n - CIN: r�F.f,. -,�` <br /> APN: / rJ1 -' DATE- _ <br /> APPLICATION u: <br /> SOIL TYPE DEPTH TU FlP,gT WATER: <br /> F1 <br /> REMARKS: <br /> _ (D <br /> _.. 0 <br /> -- O <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURESI CL <br /> —- <br /> - 1-0 �Fi I I � L������� O <br /> _ LLJ I__I LLLJ 1 � J_A l I-1 l 1—I�1�_�j <br /> - N <br /> (A <br /> r - — — <br /> SOIL PROFILE IIF REQUIRED) <br /> Depth I Soil T e Depth Soil Type Depth Soil T pe De th Soil T oe Depth Soil Type <br /> m <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: d in Depth: / in Parcel: Diameter. 'n Depth In <br /> _ Tr.tE p°_L;n,; WtiTERDRr.c Re=e!=_1 <br /> Tii.1E RE.�Di�.G tiV4T=F G'la <br /> - <br /> _ minlin <br /> = minlin PERCOLATION RATE: <br /> PERCOLATION RATE: RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC A Phone. Date <br /> E e. Date <br /> TEST PERFORMED BY: phone: Date -- <br /> TEST CERTIFIED BY Phone ->r <br /> OBSERVED BY(RENS):CD <br /> / <br /> I: <br /> 0 <br />