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Site Address: 21718 N Cord Rd, Clements CA 95227 <br />Date: 4/13/2021 <br />PHOTO # 1 Perc Test <br />Record ID: SR0083546 <br />Telephone: (2109) 468-3420 Fax: 209A64 5tOckton. <br />A 95205-0232 <br />aYia� ( ) eb Sjgov.org/eN <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION- ZL-tt'g AJ d. 9.1 <br />OWNERNAME:_j?�C Ce �,,,1 _.— CRY: <br />APN: 7'j -DT -- —DATE: <br />DATE: <br />LK:ATION {: _�(�- -Zyw 14 9 <br />So -DEPTH ��1A•�i..ebidy (--�APP� DEPTH TO FIRST WATER: , <br />REMARKS' <br />Test <br />Diameter. <br />INdE II WAtER DROP REFAIEO <br />e = 2 •as � D.«P <br />f� 2._97 <br />/a : o0 2.SY .(lj1 U.DS <br />-Da— .r4_5o 0 I — <br />o :o.o: <br />PERCOLATION RATE: Sn mht/in <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: QW ddfMJN� <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): Ff w el S w " <br />Pwn41-07REV112M <br />Test Hole #_2 _ _ <br />Parcel s—� Diameter: In Death in <br />PERCOLATION RATE: _minim <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date <br />Phone: Date <br />Phone 104 VIS V5t Dale yl N) <br />PERC TEST RATE FORM <br />Francisco Garcia Ruiz, Environmental Health Asst. Page 1 of 1 <br />