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.PERCOLATION TEST <br /> OWNER. ADDRESS OR LOCATION: <br /> P.M.or S.D'U'MBER: DATE: SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE. (IF REQUIRED) <br /> 1' <br /> SOIL TYPE: Z <br /> 3' <br /> RP�SAR#CS: 4 <br /> s' <br /> 6• <br /> 7' <br /> LOCATION OF TEST HOLES ON PROPERTY 9 <br /> SHOW ANY WELLS ADS STRUCTURES) l0 <br /> reg, 10 <br /> 59yiL&c�J TEST HOLE # 1 Sr}Azu: TEST HOLE #2 <br /> TIME READING WATER WATER REFILL TIME READING WATER - WATER REFILL <br /> DROPDROP" DROP' DROP" <br /> G <br /> Ac <br /> oi <br /> 4n7 <br /> PER 1V RATE' ' PFRCOLA3I&S RATE:_ all <br /> .� <br /> RECO&EM1 FDED SEWAGE DISPOSAL AREA: REC0NQVm7+IDED SEWAGE DISPOSAL ARE <br /> TEST PERFORMED BY: l<✓ TEST CERTIFIED BY: <br /> f <br />