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FITLD PERCOLATION TESTING REPOKAT <br /> Owner: Date: <br /> Address or Location: <br /> Hole size (Dia. ) : Depth to Groundwater: <br /> P.M. or S. Number: Soil Type: <br /> Remarks: SOIL PROFILE <br /> (IF REOU IRED) <br /> 1' <br /> 2 ' <br /> LOCATION OF TEST HOLES ON PROPERTY <br /> (Show any wells & structures) 3 ' <br /> 4 ' <br /> 5 ' <br /> 6 ' <br /> 7 ' <br /> 81 <br /> 9 ' <br /> TEST HOLE B: f"40c6L 11/ DEPTH: TEST HOLE R: _ DEPTH: <br /> TIME READING NATER DROP (IN) jF TIME READING WATER DROP (IN) REFILLED <br /> 9 O 0; <br /> 10; qQ3� r d <br /> )i :5S <br /> 0-0 <br /> N 1 5L <br /> l > ' I ( �3 <br /> PERCOLATION RATE (MINUTES PER INCH): PERCOLATION RATE (MINUTES PER INCH): <br /> RECOMMENDED SEWAGE DISPOSAL AREA (SO. FEET) RECOMMENDED SEWAGE DISPOSAL AREA (SO. FEET) <br /> TESTIS) PERFORMED BY: L)eAl 6�16eWZ-V TEST CERTIFIED BY: <br /> OBSERVED BT (SANITARIAN): (R.E. OR R.S. NO.: <br /> OCI-SJC-P9O.1 � l <br /> L. � �� k Lly ( nntml Insryrfum <br />