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Address: 26603 S. Hansen Road, Tracy <br />03 Tast Hole # 1 "" _ Test Hole # 2 _ <br />Parcel: Diameter. in De the �—ice In Parcel: <br />I Diameter: in-T5wpth: in <br />PERCOLATION RATE: t I <br />RECOMMENDED SEPTIC A A: <br />TEST PERFORMED BY: cC <br />ED BY: <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: _ <br />Phone: Date <br />Phone: Date <br />Phone71�,r4 —01k:: 101X Date <br />Naseem Ahmed, Registered Environmental Health Specialist <br />