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i <br />' PERCOLATION TEST RATE ` 1 <br />clTv: p <br />ADDRESS OR LOCATION: DEPTH 70 FIRST WATER: <br />OWNER NAME: S • gpPLICATiON •: <br />APN: R9 1 i0 <br />SOIL TYPE: -fr= <br />TION RATE: 35 minlin <br />PERCOL A po <br />RECOMMENDED SEPT4ARIF-A:.ST PERFORMED BY: <br />ST CERTIFIED BY:SERVED BY (REHS): <br />Z-03 REV 1112109 <br />PERCOLATION KA►t: <br />RECOMMEND SEPTIC AREA: ---- <br />: Z. Date <br />PhoneS <br />Date - ----- <br />Phone: <br />Phone`� Dated - <br />PERC ZEST RATE <br />