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APN: <br /> )RESSORLOCATION: �)`a� _1I' i�� � J <br /> DATE: 7 — 3,q — oz <br /> N� A PI-4 i rv%o.� <br /> yATiON#: <br /> DEPTH TO FIRST WATER:___..._____-- <br /> ft SOIL TYPE: <br /> MARKS: Uw1BEL` >° e - rs Na rs Fv z f Y <br /> LOCATION OF TE57 HOLES SHOW WELLS AtaD STRUCTURES <br /> N ' <br /> i <br /> yd <br /> )IL PROFILE(IF REQUIRE) De th Soil T e De th Soil T e' <br /> De th �sSoil a De th Soil T e De th Soil T e <br /> r,�' oJk• C7u <br /> ' r rn• <br /> _in DEPTH: In <br /> ?ST HOLE#1 DIAMETER: �_in DEPTH: `I3'a in TEST HOLE#2 DIAMETER: WATER <br /> REFILLED <br /> WATER <br /> REFILLED TIhIE READING DROP <br /> TIME READING DROP <br /> 2m 11! '. <br /> 12 � 39 3j5 f 311 '. <br /> min!•il <br /> 3 3 min/in PERCOLATION RATE: <br /> PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: Date <br /> Phone: <br /> ST PERFORMED BY: Date <br /> Phone: <br /> TEST CERTIFIED BY: Date <br /> Phone <br /> OBSERVED BY(REHS): PERC TEST RATC FOPS <br /> zun E7131 A03 / �� <br />