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PERCOLATION TEST <br /> OWNER: J1— w z`'` t!)) ADDRESS OR LOCATION: <br /> P.M. or S. NUMBER: DATE; 7-I 1 © SOIL PROFILE <br /> FDEPTH TO FIRST WATER: SIZE OF HOLE: 1' <br /> SOIL TYPE: 2' <br /> REMARKS: 3' <br /> F 4' <br /> LOCATION OF TEST HOLES ON PROPERTY <br /> F Show any wells or structures S' <br /> F T <br /> 8. <br /> g• <br /> i <br /> Fs <br /> -2-a. <br /> Bottom: Fill to: Bottom: Fill to: <br /> F ' TEST HOLE#1 TEST HOLE#2 <br /> TIME READING1 WATER DROP" REFILL TIME READING1 WATER DROP " REFILL <br /> N3 X03 <br /> i=aa <br /> f'13 6 tp 0 Q iv <br /> 2.+ 3 <br /> PERCOLATION RATE: 3 ML y lir. PERCOLATION RATE: <br /> I <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: TEST CERTIFIED BY: <br /> OBSERVED BY(ENVIRO. HEALTH): _(R_C.E.or R.S.#: <br /> F <br /> Or <br /> i <br /> I <br /> M <br />