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: „F ' ,�'v <br /> J.,)RESS OR LOCATION:_( --� 215JOI A). t,�TF A5D­_ APN: Q�1 i✓73�-- _ <br /> 'VIMdER. DATE: 2180 5 <br /> ATION M �W �b DEPTH TO FIRST WATER: ft SOIL TYPZ=: <br /> (G. NARKS• L,S 7y,�4-_ S SL-- - - <br /> LOCATION OF TEST HOLES SHOW WELLS Arra STRUCT[JRES <br /> S�5 <br /> olL PROFILE (IF REQUIRED) � �� <br /> re th Sail Type Depth SoilType Depth Sail Type - Depth Soil Type Depth Sail T e <br /> k <br /> t T HOLE#1 'DIAMETER: �' In DEPTH: In TEST HOLE#2 DIAMETER: eC)C) in DEPTH 24,1 5 <br /> I <br /> TIME READING WATER REFILLED Tl&IE READING WATER REFILLED <br /> F-4 DROP DROP <br /> 2-7. 32 <br /> . <br /> Z : 3 <br /> 2L,2, Sg O,rq 5 <br /> x_13 <br /> 3 '372 72 . 6C5 <br /> TMwin <br /> PERCOLATION RATE: minlin PERCOLATION RATE:_ 2.5.0 <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED BY: Y c S, H cc Z Phone: Zc)R- 14 � <br /> `1_ j� .5 Date `� ���- ZAP � <br /> F <br /> EST CERTIFIED BY- Phone: 209-Qy& J5` Da1e fSS` <br /> OBSERVED BY Phone( X3 5 Date /4 5" E <br /> s <br /> D42-01-003 PERC TEST RATE FORMI, <br /> REVISED 5n/2o02 i <br />