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03/06/2006 13:26 FAX [dj 015/041 <br /> DRE55 OR LOCATION; <br /> INERT G DATE: ,= <br /> :ATION #: lam_ DEPTH TO FIRST WATER: ft SOIL TYPE: { _ <br /> ;MARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> 1 I <br /> I <br /> I I <br /> )IL PROFILE (IF REQUIRED) ° <br /> De th Soil T e Dept Soil T e De th Soil T De th Soil T e Death Soil Tin <br /> JJ in DEPTH: <br /> .5T HOLE#1 DIAMETER (O in DEPTH: �� in TEST HOLE#2 DIaMEiER: <br /> WATER WATER REFILLED <br /> TIME READING DROP REFILLED TIME READING DROP <br /> 1-00 2 l 7 0 z- q <br /> L� <br /> 7; 3 <br /> F3 0 -1 _ <br /> Y, . X93 -Iq to =� � <br /> 3� 2. 97 <br /> 2. 7,) <br /> � min <br /> , O f minlin PERCOLATION RATE: ' �--- <br /> PERCOLATION RATE: - <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA:— <br /> ST PERFORMED BY_ <br /> 4 , Phone: Date <br /> Phone: Date <br /> Phone Date <br /> _ <br /> T%ST CERTIFIED BY: e- <br /> OBSERVED BY(RF-HS) a. <br /> �x✓'.3'laZ <br /> PGAC TEST RATE FO <br /> E1fG at-0I-DOJ <br /> REVISED 5n12002 2 Pr - <br />