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A • <br />/fa 6,0 APPLICATION 0; <br />: Cl)-0 , I. 4 ./G7 Ft <br />" • <br />. it 1" <br />ITT: <br />DATE. <br />DEPTH TO FIRST WATER: <br />ADDRESS OR LOCATION: <br />OWNER NAME: <br />APR: <br />SOIL TYPE <br />REMARNS7 <br />min in <br />,• 'EA: 4 <br />A tit. "'Tit <br />(611PLMAIM <br />111.1 to. -111W <br />Test Hole #2 <br />Parcel: i Diameter: in I Depth: <br />READING WATER DROP REFILLED poi <br />PERCOLATION RATE: mitilin <br />RECOMMENDED SEPTIC AREA: <br />Phone: dq-40 2.- */64-.2- Date ///2 /10 / <br />Phone: " Date <br />Phone 7 Oct — 03 6 Date <br />PERC TEST RATE FORM <br />Time <br />C SR0083083 <br />orv..iallIMotimbet <br /> <br />, <br />i;88 East Hazelton Avenue. Stockton. CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0)38 Web: www 51900 orgiettd <br />PERCOLATION TEST RATE <br />SOIL PROFILE (IF REQUIRED) I 7-y <br />I Depth Soil Type Depth <br />,-;/.' N/- <br />LOCATION OF TEST HOLES (snow WELLS AND STRUC RES) <br />PWIPI . . .11111 sinsigni <br />srmadlor,mriL. sramiliams <br />Soil Type Depth Soil T 4 <br />Soil Type Depth <br />READING WATER DROP REFILLED <br />i; o0 If 2. ' , --. <br />" <br />:PO <br />_1_120 <br />0 ,0 <br />/ ... . Y' ... A <br />/a / ,f <br />I, . <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (RENS): <br />END 42-03 REV 11009 <br />Jan 12, 2021, 12:03 PM Aldara Salinas, Environmental Health Specialist Test Hole #1 <br />Parcel: 4.2.. J Diameter. .4, ye in rDepth: 3/. in