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DRESS OR LOCATION: �� /V • 0AJ F_OAb \PN: <br /> 1NER: gjA� 6tZL1ES <br /> :ATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> .MARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I � I <br /> �- - L- <br /> )IL PROFILE (IF REQUIRED) <br /> Depth Soil Type De th Soil T e De th Soil T e De th Soil T e De th Soil T e <br /> :ST HOLE#1 DIAMETER: In DEPTHI / <br /> in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> WATERNATER REFILLED <br /> DROP <br /> TIME READING REFILLED TIME READING DROP <br /> 13' ' <br /> I a ��� © . al 0. 7v <br /> /a' 9 0.39 ' . sy ' la - 3l 13 90' 015-013.0 <br /> 13, 66' o-&d 13, ate. <br /> 0 .38' ,, 131 i3, (,a- 0 .s y ' <br /> D� <br /> 0.2�7' 7 5 ' ' o / 3 0 57 Id-89� <br /> v Y3' 3 <br /> 3 3� <br /> 652y' ® ��' 3 3 13. 83 o y3 <br /> PERCOLATION RATE: " min/in PERCOLATION RATE: <br /> S minlin <br /> RECOMMENDED SEPT C AREA: RECONINIENDED SEPTIC AREA: 77 <br /> ST PERFORMED BY: Phone: ,q04 2Vb-13V_5 Date QCT�7i ��3 <br /> TEST CERTIFIED BY: Phone: Date <br /> Phone ` l3' Date �D 7i3 no— <br /> OBSERVED BY(REHS) <br /> PL•RC TEST RATE FORMIC <br /> EIIDa2-01-003 O.sO' - A//A- <br /> REVISED 3/7!2002 <br /> 3:� - $. 3'f O -�'�' — .t!!?- 3:3� J � 3 -$3� 0"10' ,t//•t- <br />