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04/21/2003 16:23 FAX 209 9180621 Z003 <br /> o�� '---" <br /> DRESS OR LOCATION: �S- � OK.14 <br /> 451(q 319'e>1 60 <br /> INER; Z_4 0-E SM ►T <br /> ff <br /> DEPTH TO FIRST WATER: <br /> ft SOIL TYPE: <br /> ;ATION #: <br /> .MARKS: <br /> LOCATION OF TEST HOLES SH w WELLS AND STRUCTURES '— <br /> 1, <br /> i <br /> iIL PROFILE(IF REQUIRED) De th Soil T e <br /> De th Soil T e De th Soil T e De th Soil T e De th Soil 7• e <br /> In DEPTH: <br /> in EPfa: to T HOLE D'AmsTER: <br /> T HOLE f71AMETR:3 in <br /> WATER <br /> lYAT£R TIME READING REFILLED <br /> TINIE READING DROP <br /> REFILLED DROP <br /> I,'r53 �• <br /> I "3 7 <br /> 0981 0? <br /> 0, 3s 62�, 0.31 <br /> w G,4 rninrn <br /> PERCOLATION RATE: <br /> L'"' 'j 11-4 mintin PERCOLATION RATE- <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPT AIZEA:,� <br /> Phone: Q�9y��13Yr Date ! <br /> ST pERFop-LMED Bl r <br /> Phone: Date <br /> 'PEST CERTIFIED P � ate <br /> OBSERVED <br /> D <br /> OBSERVED BY( HS): .�i f /���r4���lr `'�pEFLC TEST RATE FORMIc <br /> 01D 42-01-003 3:�0 <br /> REVISED 5ni2002 <br />