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03/08/2006 13:29 FAX 026/041 <br /> DRESS OR LOCATION: � 3 AVt — APN'. ZJQ <br /> 1NER - OkATE: <br /> :ATION #: DEPTH TO FIRST WATER: R SOIL TYPE: <br /> .'A ARKS: 0 <br /> LOCATION OF TEST HOLES SHowWELLS AND STRUCTURES <br /> i <br /> IL PRO (1F REQUIRED <br /> of De th SDII T e De th Soil T e of De lh Soil T e <br /> i <br /> s <br /> :ST HOLE#1 ummETER: in DEPTH: ! in T ST HOLE#2 Dt,etaETER: in DEPTHiZ <br /> WATERT� WATER <br /> 'TIME READING DROP REFILLED TIME READING DROP R.EFILLEL' <br /> Tj 17 <br /> 7 (7 <br /> 12 <br /> PERCOLATION RATE: i� \ mien PERCOLATION RATE: _ mi <br /> RECOMMENDED SEPTIC A: RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED BY: Phone: Date <br /> e ' <br /> TEST CERTIFIED BY: ��. Phone- Date <br /> Phone D <br /> OBSERVED BY(REH atc <br /> '.ND 4EL1-0OJ -2:2C - L-Z3 o�, ` =Z•1 PL•RC T'cST RATE FG <br /> ,VjSED5f72002 <br />