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ADDRESS OR LOCATION: t `�I ' �N n d APN: 0 0 r C'12 <br /> jOWNER: i– E t S DATE: <br /> APPLICATION #: jjD `J Q `J'±'Z-�f— DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: <br /> !� LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I 1 <br /> II <br /> LSOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type De Depth Soil T e De th Soil Type Depth Soil Type <br />' <br /> L <br /> TEST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE #2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFFILLED TIME READING WATER REFFILLED <br /> DROP DROP <br /> 25.�, <br /> 'h `�;� 0 2Cc? .'3'3 <br /> eUq ' 01 Z '(P <br /> a <br /> PERCOLATION RATE: min/in PERCOLATION RATE: 7 �-� min/in <br /> RECOMMENDED SEPTIC RECOMMENDED SEPTIC AREA: <br /> : TEST PERFORMED BY: �� �— Phone: 'k Date: t O <br /> TEST CERIFIED BY: Phone: 7 Date: <br /> OBSERVED BY(REHS): Phone: Date: <br /> EHD 42-02-003 `Z - f 6X3 f 3 Z-'cj,,7- Z,&(/ ERC TEST RATE FORMIc <br /> REVISED 517102 <br />