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-0 <br />0 <br />0 <br />(4 <br />,"="...1DRESS OR <br />-ANNER NAME: <br />'N: - APPLICATION #: <br />-.OIL TYPE: e Aldara Salinas. Environmental Health Specialist LOCATION 01- I tb I muLma <br />i H 1 _1 I I' [I <br />' '1_1_1_• <br />Ibm0r0 vri.,-.-.Q ps.,..• .0 .• - ----, _ . <br />U 1 <br />11 11 <br />III IIII 11 <br /> <br />I I <br />II III •MI Ns I _ <br />ii._1-111-11 1 itlIiiiii -71-1 -I M ii ii iii i <br />ii ii -1'11H ii F- 17 <br />1111 1 iiIiii iiiiiiii i-ill <br />um <br />i <br />a <br />II -- 11 : I I 1-11 [Ii][ILL <br />1 , , i ._1__„ H.:. . . ; <br />li- ' ---i--4--,, 1 r-r- \ 1 <br />SOIL PROFILE (IF REQUIRED) <br />Test Hole #2 0 FM/ <br />—Parcel: Diameter: -4 6- in I Depth: 96 in <br />91 FT Test Hole # 1 3FT <br />in De th: In <br />Parcel: Diameter: <br />READING WATER DROP REFILLED <br />minimn <br />PERCOLATION RATE: <br />RECOMMENDE <br />Phone: <br />Phone: <br />Phone <br />SEPTIC AREA: <br />trol Date / <br />Date <br />Date <br />PERC TEST RATE FORM <br />PERCOLATION RATE: ____---(f-2-3---- min/in <br />RECOMMENDED SEPTICEA: 5EE : -, , 4 " <br />TEST PERFORMED BY: <br />TEST CERTIFIED BY: <br /> <br />A 0111161r. OBSERVED BY (REHS): <br />END 42-03 REV 11/2/09 l-E69800HS