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`6 <br /> ADDRESS OR LOCATION -5�--Pz <br /> OWNER <br /> APPLICATION NO. DATE SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF BORING: ( IF REQUIRED) <br /> SOIL TYPE: <br /> REMARKS : <br /> 2 ' <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> 5 ` <br /> 6 ' <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10' <br /> TEST HOLE. #I TEST HOLE #2 /p <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 0 3 <br /> a 1/y 3 /lp //, 'a 6 <br /> AI <br /> 16 <br /> f <br /> JJ � <br /> PERCOLATION RATE : PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA : RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) <br /> EH 06 11 9/84(90) <br />