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. € DRESS OR LOCATION: .._ _ _. .._.._. ArN: <br /> l INER: �/ l DATE: <br /> 1,L/ (Tilr7IF 0 <br /> ,ATION #: f r DEPTH TO FIRST WATER: A � -.P� ft SOIL TYPE: <br /> .MARKS: <br /> li <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> i E� — 1 <br /> -- -- -7, �t ; <br /> l i <br /> ;1L PROFILE (IF REQUIRED) ii <br /> �i <br /> Depth___ SoilType Soil Type De th Sol) Type Depth Soil Type Depth Soil-T e <br /> If <br /> _ST HOLE#9 DIAMETER: (_in DEPTH: Mg in TEST HOLE#2 DIAMETER: ro in DEPTH: ` in <br /> WATER WATER REFILLED <br /> Tl11lE READING DROP REFILLED TIME READING DROP <br /> 12:32 6/v/P-7Y. 3-5-7 <br /> V3123 .17` , <br /> 3. 53 <br /> �o <br /> i <br /> I. <br /> PERCOLATION RATE: <br /> CO Z minlin , PERCOLATION RATE- <br /> RECOMMENDED <br /> ATE- 5 min/in <br /> RE ]11MENDED SEPTIC A.REiA: RECOMMENDED SEPTIC AREA: <br /> II <br /> T .ST PERFORMED BY: 1 Phone: Date <br /> TEST CERTIFIED BY: <br /> Phone: �ffj- 13 `T`S` Date ` I Z D 3 <br /> OBSERVED BY (REHS): �i Phone Date <br /> EI ID 42.01.003 PERC TEST RATE FORMIC <br /> REVISED 5f1/2002 <br />