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#� ADDRESS OR LOCATION: APN: <br /> OWNER: Gosat j-1 AJ J <br /> DATE: Z Adi� <br /> APPLICATION #: Qom'05 -�` ` rl <br /> DEATH TO FIRST WATER: � ft SOIL TYPE: <br /> REMARKS: 4houriest ihour test <br /> 30!(12`Last Wafer Drop) 101(12'Last Water Drop) <br /> - Deep less than or=30 minlin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow essihanor=sOmiNin <br /> l <br /> t 'f L4 Tcc�-F-- I —,— I 1 4- 14 <br /> ! .Q <br /> � r <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth 5oil Type Depth Sail Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Fi TEST HOLE #1 DIAMETER: i3 in DEPTH: � TEST HOLE# p� q <br /> ��(( �� 2 DIAMETER: Q In DEPTH: H l in <br /> TIME READING WATER REFFILLID TIME READING WATER REFFILLED <br /> DROP DROP <br /> `Iv Z4, -TS <br /> 3 S V' 0 Z o. <br /> I <br /> 05 <br /> j Ft <br /> 03 6, 031 0306, <br /> F, V-, <br /> I . <br /> V <br /> SS <br /> PERCOLATION RATE; 31 , 3 min/in PERCOLATION RATE: min/in <br /> -•, RECOMMENDED SEPTIC AREA: k RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: L 1- , <br /> l� �Ci'� Phone:'L9�(—"3Z�}— �LUDate:_2��.�Q'�J. <br /> TEST CERIFIED Phone: 3 -3� 1 Date: Z -,? 11 o <br /> OBSERVED BY( PhorK7 , ys Date: / <br /> ! ERD 42-02-003 PEKC TEST RATE FORrMle <br /> REVISED 5!7!02 <br /> k <br />