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M � <br /> PERCOLATION TEST <br /> OWNER: ADDRESS OR LOCATION: allwA app 2-D <br /> P.M.or S.NUMBER: DATE: Z D SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE,: I (IF REQUIRED) <br /> 2' <br /> SOIL TYPE: <br /> 4' <br /> REMARKS: S <br /> 6' <br /> V <br /> 8' <br /> 9' <br /> LOCATION OF TEST HOLES ON PROPERTY Iti <br /> SHOW ANY WELLS AND STRUCTURES) <br /> pox.3 s2 _o <br /> TEST HOLE # 1 a3 qj TEST HOLE#2 <br /> TIME READING WATER WATER REFILL TIME READING WATER WATER REFILL <br /> DROPDROP" DROP' DROP" <br /> Ei <br /> -4o rr <br /> D C11A <br /> !: Fir10 E Pi Y EYt i <br /> AEMPT Y <br /> a <br /> :BS moo- a <br /> PERCOLATION PATE: 'LA PERCOLATION RATE: I b y,n,r�tn <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMEIVDEU SEWAGE DISPOSAL AREA-- <br /> TEST <br /> REATEST PERFORMED BY: TEST CERTIFIED BY: <br /> Q3 <br />