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t4 <br /> PERCOLATION TEST <br /> OWNER: ADDRESS OR LOCATION: Z, VIP <br /> P.M.or S.N[FI►SBER: DATE: lb i SOIL PROFILE <br /> DEPTH TO FIRST WATER. SIZE OF HOLE: I (IF REQUIRED) <br /> 2- <br /> SOIL TYPE: 3. <br /> 4. <br /> REMARKS: 5. <br /> 6' <br /> 8 <br /> 9' <br /> LOCATION OF FEST HOLES ON PROPERTY to, <br /> (SHOW-kNY WELLS AND STRUCTURES) <br /> 1. <br /> ` t � l <br /> IF) 4 <br /> aIoe,l I 012 <br /> SNALL061-3 I�Kckwkn -AAtl d-`S <br /> IE <br /> �-2-5; TEST HOLE # 1 c, TEST HOLE #2 <br /> TIME READING WATER WATER REFILL TIME READING WATER WATER REFILL <br /> DROPDROP" DROP' DROP" <br /> 7'"WS 7; a <br /> j b <br /> 10:0 30 ZS ' <br /> 44 Qo <br /> ID4 -7-61 <br /> PERCO TIbN 47 f 7 lV C- PERCOLA7TON RATE„ �r <br /> RECORDAENDED SEWAGE DISPOSAL AREA: RECOM VIENDD SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: TEST CERTIFIED BY: <br />