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m' = 0w <br /> N "- - 03 <br /> Q• O � U1 <br /> -� Z <br /> 0. #N O <br /> <n 3 � o =r <br /> v <br /> M <br /> ZI . ;. 1868 East Haz ven on,CA 95205-6232 CD <br /> Telephone:(209)468-3420 •x:(209)464-0138 Web:www.sigov.orglehd CD <br /> PERCOLATION TEST RATE <br /> CD� <br /> :3 -7 per r/� � <br /> ADDRESS OR LOCATION: i1° 1°^ 1 c�r I I 17 ex3 T,c(Hr j,l A-J CITY: (_O c.i : o,d I� 0 <br /> OWNER NAME: �u r I.J In•l_ �-� DATE: t0 I L c/z,; Q <br /> = APN: G�_ I %S0 03C APPLICATION N: - DEPTH TO FIRST WATER: 411,4 <br /> FI I— <br /> OSOIL TYPE: -S I - I O <br /> (l) C 1 <br /> EF <br /> 1� EMARKS: N h x <br /> CD <br /> 0 O <br /> (D LOCATION OF TEST HOLES ISHOW WELLS AND STRUCTURES Q. <br /> n '' I l l i n <br /> (fl <br /> cn <br /> i <br /> co <br /> 7 7 <br /> I <br /> -_ 1 <br /> '# SOIL PROFILE IF REQUIRED <br /> + <br /> Depth Soil Type Depth il T Soil T e Depth Soe De th S011 T e De th Soil T <br /> Test Hole#1 Test Hole IW <br /> Parcel: Diameter: in I Dept in Parcel: Diameter: in De the in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 1 <br /> GDO 3 .2 ' D, Z ' 71 ' 1230 <br /> 0--f ;. D4 ' 34' L•? � <br /> 1000 3 . 2 yNIA <br /> 1° 11 s <br /> to 3. ih ' Ir <br /> It i r7 3. -1 07' 2, 70 r <br /> lith . I � ' -,3 ' 2 ?1 ` <br /> (So 3 , IS . 11 ' 2 • 7 � , <br /> 11uv I Z ' -J3' <br /> t7,,_o 3, I b •31 Z� 7� <br /> PERCOLATION RATE: <br /> Z , miniin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: Date <br /> TEST PERFORMED BY: "�r` S �- Phone: <br /> Phone: Date <br /> TEST CERTIFIED BY: <br /> v Phone Date m X <br /> CD <br /> CD OBSERVED BY(RE : PERC TEST RATE FORM p <br /> NS) CD <br /> EHD 42-03 REI/1I&" <br /> O Cb <br /> 7:3 -P <br /> CD <br /> In <br />