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ie►ephone: (209) 468-3420 Fax: <br />PERCOLATION TEST RATE <br />o <br />cITY: <br />�. rj T, �24� F1T`f • yrc <br />ADDRESS OR LOCATION: DATE: F <br />OWNER NAME: <br />L DEPTH TO FIRST WATER: <br />.� APPLICATION #: <br />APN: <br />SOIL TYPE:P� i A rwYr' ✓1 ►'�1' i� r" r G' J,'i iL. <br />) 464-0138 Web: ,NWwAgov <br />REMARKS: <br />SVIL I KUt-ILt III- KtUUIKtu) <br />Depth Soil Type Depth Soil Tye Depth Soil Type <br />Depth Soil Type <br />----t--- - <br />Depth Soil Type------------------------ pe <br />_ <br />REFILLED <br />-� <br />_ I <br />/ 1 <br />Test Hole # 1 Test Hole # 2 _ <br />Parcel: Diameter: . � in Depth: (1 in Parcel: < Diameter: S in Depth: pin <br />TIME _ <br />READING <br />WATERDROP <br />REFILLED <br />REFILLED <br />/ 1 <br />AL.1 U <br />i <br />3. L33 <br />SO, <br />za <br />-- - — ------ <br />lT' <br />-f-30--.os_'._ <br />rF_rX%,ULAIIUN KAIIm: /J, 2 min/in <br />RECOMMENDED SEPTIC EA: [:� pp <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EHD 42-03 REV 11/210g <br />.411 1� <br />. . . . . . . . . . . . . <br />TIME I <br />READING <br />I <br />WATER DROP <br />REFILLED <br />za <br />-- - — ------ <br />lT' <br />-f-30--.os_'._ <br />PERCOLATION RATE: <br />D min/in <br />RECOMMENDE <br />SEPTIC AREA: <br />Phone: c26q-4-02 <br />- /(,S <br />Date <br />Phone: <br />Phone (.; <br />i 7--- <br />Date <br />Date <br />PERC <br />TEST RATE FORM <br />