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AUL)HtJJ UFS LUUAI IUN: APN: <br /> OWNER: `w/ DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4haurteri hour test <br /> REMARKS: rr+WC Fg <br /> 2•taatwtcr Drop) 101)12• a water Drop) <br /> Oeep less than ar=30 miNm <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shall wlessthanor=60 mi m <br /> t. t <br /> III I Ilk �:M I I I 1 11 112±L10220 I I I rl <br /> SOIL PROFILE (IF REQUIRED)f I) ],y.10 �'(( .7 10 <br /> Depth Soil Ty e Depth Soil T pe Depth Soil T e De th Soil Tye Depth Soil Type <br /> TEST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE #2 DIAMETER: In DEPTH: In <br /> TIME READING WATER DROP REFFILLED TIME READING ATTER REFFILLED <br /> DROP <br /> y pY , sv 7s� 5', �8 • Oy/ S 5'8 <br /> 5H Dy y) I/n / /ppb <br /> A Dr r t� .. , .A� q�b Silsl . 8q SIb { <br /> /o2y ar , 6�0 ',yt10 /0 ;Z4 <br /> - 11 � �' - y � ll� � 5) 76 • IQ �"" <br /> r. PERCOLATION RATE: S .'o min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPT C AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: lr I / Phone: 209 -loo 03!?l Dat�� I7— d U <br /> v TEST CERIFFED B �` Phone: �� ( O r Date: <br /> OBSERVED BY (REHS): Phone: fj�J' ���� Date: z A <br /> r <br /> EI-ID 42-02-003 I PERC TEST RATE FORM 1 c <br /> REVISED 5/7/02 <br />