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PERCOLATION TEST ' <br /> OWNER: ;Rc'Z/A01,e 72olcY. A)C, ADDRESS OR LOCATION: /300 AJ• 6,e--ra1jpE <br /> P.M. or S- NUMBER: DATE: 10 OZ SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: 1' <br /> SOIL TYPE: 2' <br /> REMARKS: 3' <br /> 4- <br /> 5- <br /> LOCATION <br /> '5•LOCATION OF TEST HOLES ON PROPERTY <br /> Show any wells or structures S• <br /> LohD1A)G <br /> 7' <br /> �IUE�gY <br /> s' <br /> 3[aaeail <br /> X� I r�ruas;z <br /> 12• I����� s• <br /> 2-0 , <br /> 10 <br /> S <br /> Bottom: Fill to: Bottom: Fill to: <br /> ,10,¢71{ TEST HOLE W *F3 TEST HOLE#2 <br /> TIME IREADING1 WATER DROP" REFILL TIME READING WATER DROP " REFILL <br /> /0,0 5 <br /> j`7 31 pED GF0 <br /> 48 . lo " 6 No. 2151:D2 CERTIFIED 0 <br /> ENGINEERING <br /> 63 I!' tP GEOLOGIST �Q <br /> :02 Q3 lo' 4-50' OFCA�\FAQ <br /> .o • iZ' � <br /> PERCOLATION RATE: PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: ST CERTIFIED BY <br /> OBSERVED BY(ENVIRO. HEALTH): ,n R.C.E.or R-S. #: l n <br /> TCS -a1 <br /> q / <br /> In ! <br />