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AIJL)dLJS Uh LUUAI IUIV: APN: <br /> OWNER. rDATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> C�� 4 hour test t hour test <br /> REMARKS: 3o/Itz•Lasiwa <br /> - terDrop) to/Itz'LaSiwa;F =-_. <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallow less than or=60minlin <br /> P <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE# DIAMETER: in DEPTH: in TEST HOLE DIAMETER: in DEPTH: In <br /> WATER WATER <br /> .� T]`IE READING DROP REFFILLED Timil READING DROP REFFILLED <br /> `fc <br /> 171 v1 <br /> cf (D <br /> L <br /> z ; L,-9-�,v , Z.7-- '71 <br /> PERCOLATION RATE: Yj ---min/in PERCOLATION RATE: min in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 6o lid,.,"r Phone: -) o'l/" Z�"'3�( }- Date: <br /> TEST CERIFIED B Phone: -Vol Date: , <br /> OBSERVED BY( HS): -� �,�' lam - Phone r/ w ` Date: � /�� <br /> — EHD 42-02-003 t PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />