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DRESS OR LOCATION: II �S' A'' <br /> �f DATE: <br /> /NER: L— 12E / �rn I T <br /> ,ATION #: <br /> DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> fQC <br /> :MARKS: oC flTlcl�1 /T�S73 NL7t�L7- +� R.� o � � iC- <br /> //,j !L _ <br /> LOCATION OF TEST HOLES SH W WELLS AND STRUCTURES <br /> f I I <br /> L-7 <br /> 7 <br /> )IL PROFILE (IF REQUIRED) <br /> De th Soil T e De th Soil T e De th Soil T e De th Soil TV e De th Soil T e <br /> T HOLE# f3 DIAMETER: in DEPTH: /� in T T HOLE#SIF I DIAMETER: <br /> in DEPTH: in <br /> WATER READING WATER REFILLED <br /> DROP <br /> TIME READING REFILLED TINIE DROP <br /> 11 .� <br /> 3. 8 <br /> or <br /> 35 <br /> 0, 31 <br /> �1 / � � �"�/NCS' min/in <br /> PERCOLATION RATE: J/ 1/V 114 min/in PERCOLATION RATE: <br /> RECONINIENDED SEPTIC AREA: <br /> RECOMMENDED SEPT AREA:_ (� q _ f _ [� <br /> Phone: aT%y0-/3 Date <br /> ST PERFORivIED B <br /> Phone: <br /> Date <br /> TEST CERTIFIED <br /> Date <br /> OBSERVED BY( HS): f!�' -� /•y���f>'4131z7-66- •P-RC TEST RATE FORMic <br /> El D 42-01-003 <br /> �" � •�i .C�,,.r; o; . yo �. Ste' .3� <br /> REVISED 5/7/2002 <br />