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DDRE, R LOCATION:_1_�9�LESLLIC1rlI; Raacf.rTracy 95304 APN: 239-210-06 <br /> OWNERMbeItSOtI Farms DATE: d2 bQ 0'5' <br /> APPLICATION#*,. PA-04-090 DEPTH TO FIRST WATER:_- ft SOIL TYPE: <br /> a w <br /> REMARK�4*P �cels _ t 1 LFI -1 °P5 <br /> �"" LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> ! IF01 <br /> QelI I i ! I i I !: I f t I t 1 ! <br /> 1 1 } S ! I 1 <br /> 1 i I I I i i <br /> 1 PA- <br /> 1A UL <br /> Av <br /> L� oa <br /> SOIL PROFILE (IF REQUIRED) <br /> (" <br /> Depth Soil Type De th Soil Type De th Soil Type Depth Soil T e De thSoil T e <br /> E- ;80 <br /> O l V1 G <br /> w -� C <br /> TEST HOLE#1. DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> WATER WATER <br /> TIME READING DROP REFILLED TIME READING DROP REFILLED <br /> c . Cr, -31 -0 <br /> r <br /> WID �y <br /> v x <br /> o <br /> PERCOLATION RATE: min/in PERCOLATION RATE: l= 2O _nun/in <br /> M <br /> RECONVYIENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: � ____ Phone: Date �J` 1 PERFORMED <br /> TEST CERTIFIED BY: Phone: j 7- 70 Date ) f S <br /> OBSERVED BY(REHS): / Phone Date Date 3 <br /> EHD 42-02-003 PERC TEST RATE FORMIc <br /> REVISED S/7/02 <br />