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Address: 26603 S. Hansen Road, Tracy <br />209) 464-0138 Web: <br />www <br />1868 East Hazelton Avenue. Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fex: <br />_:- PERCOLATION TEST RATE <br />iii Luo} S L\....._ RZ -..`t <br />i� ADDRESS OR LOCATION: T DEPTH TO FIRST WATER: _ _ <br />.-ERNAME: A•"•^ APPLICATIONN: <br />APR; ao5-n\o-u`I <br />SOILTTPE' <br />REMARKS: <br />T77 .L <br />LOCATION OF TEST HOLES sr+ow wens AND sTRucruaes <br />{ <br />1 J.1 T� P-- I l <br />Naseem Ahmed, Registered Environmental Health Specialist <br />Tact Hole # 2 <br />Ra <br />in De <br />IN '+ �� 1n <br />Test Hole # 1 <br />In <br />Parcel: Diameter. <br />. <br />M1 I <br />In De lh: <br />3 '. <br />Parcel; Dlameter. <br />WATER DROP <br />REFILLED <br />REFILLED <br />TRE REAOaKI <br />q'�S <br />EAD <br />TRE RING <br />WATER DROP <br />�5 �3 <br />T•.9y •� <br />C.'ic7 <br />9 2C <br />_ <br />__ <br />_ <br />J. ? S__ <br />A.f� <br />0. vc <br />q 4o <br />' <br />°'n-1.— 95.98 <br />o.o l <br />75. ]s <br />855 � <br />a,9 <br />o NS <br />n zA <br />- U. S, .... K.eN <br />q'. i'F .� <br />7c bb <br />1'.Sr •.... - <br />o.4f <br />a.Z3 <br />q'. re��- <br />of <br />11 <br />�.ol <br />qs av <br />o�A.. <br />S6 <br />_MIFIRn <br />PERCOLATION RATE: <br />PERCOLATION RATE: <br />j 3� <br />minfln <br />RECOMMENDED SEPTIC AREA:Date <br />RECOMMENDED SEPTICCfjE�: <br />_ <br />phone: — <br />0 - <br />y' Z2 <br />TEST PERFORMED BY: <br />T7� _Q <br />-- <br />phone: <br />Date <br />Date (A.A"� - <br />TEST CERTIFIED BY: <br />f.// <br />Phone <br />PERC TEST RATE FORM <br />OBSERVED BY (REHS) <br />� <br />EHD 42-0J REV 11QN9 -.I(— <br />_ _ - <br />Naseem Ahmed, Registered Environmental Health Specialist <br />