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!Y <br /> r) n <br /> PERCOLATION TEST <br /> OWNER: ADDRESS OR LOCATION: 670tcIAQs . <br /> P.M,or S.NUMBER: DATE: Z! D t SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: I (IF KEQUIi RED) <br /> 2' <br /> SOIL TYPE:_. ilp-- _ 3' <br /> 4' <br /> REMARKS: S. <br /> 7' <br /> 8' <br /> 9' <br /> LOCATION OF TEST HOLES ON PROPERTY Ep <br /> SHOW ANY WELLS AND STRUCTURES) <br /> r� s i z ` TEST HOLE # 1 s) TEST HOLE <br /> TIME READING WATER WATER REFILL TIME READING WATER WA REFILL <br /> DROPDROP" DROP' DRO <br /> yl <br /> "prys <br /> Ei <br /> 3-a <br /> PERCOLATION RATE: PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY. TEST CERTIFIED BY: <br /> .,may <br /> 3:o5 � `y <br />