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PERCOLATION TEST <br /> ADDRESS OR LOCATION: <br /> rl- <br /> P.M.ur S-NUMBER: DATE: all 7M I SOIL PROFILE <br /> {IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: <br /> 2' I <br /> SOIL TYPE: 3' <br /> 4' <br /> REMARKS: S' <br /> 6, <br /> 7' I <br /> 8' I <br /> 9' <br /> LOCATION OF TEST HOLES ON PROPERTY 10' I <br /> SHOW ANY WELLS ANIS STRUCTURES <br /> 2-° <br /> 8. <br /> F� <br /> to S <br /> 10 -- <br /> TEST HOLE# 1 Q TEST HOLE#2 <br /> TIME READING WATER WATER REFILL READING WATER WATER REFILL. <br /> DROP' DROP" DROP' DROP" <br /> Z 6"o AnI •si ,J ' <br /> r9A ��rlP-� 1c5' 1A) 8.0 <br /> /O:Ozj8.jo7 •407' ,.0 lofllr.; $•+ ' <br /> lo,-iz 8 110 laid <br /> e <br /> PERCOLATION RATE:-- - -I c 3- mt yr Zf_vac../ PERCOLATION RATE: <br /> RECOMAE DED SEWAGE DISPOSAL AREA: RECOKVDMS F.D SEWAGE DISPOSAL AREA <br /> TEST PERFO Y. TEST'CERTIFIED SY. <br /> f <br />