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OWNER: _ S DATE: <br /> L �V <br /> APPLICATION #: DEPTH TO FIRST WATER: it SOILTYPE: <br /> 4 hour test i hour fest <br /> REMARKS: , 0v p2•Lasl Wela PO 101p2 a w'a,DW) <br /> Oaep less than or=30 marlin <br /> LOCATION O EST HOLES (SHOW WELLS AND STRUCTURES) a Shalom smanor=Wmi n <br /> L L=L-- <br /> 1 <br /> Fl <br /> L -SU <br /> 9. �X q.Tl <br /> SOIL PROFILE (IF REQUIRED) ;z 0 <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth I SoilTypejl <br /> v <br /> LTEST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> I TIME READING WATER REFFILLED TIME READING WATER REFFILLED <br /> ►„ DROP DROP <br /> 10I 31 ) -1 -;Z, -7y <br /> JAD IJO -7 r7 03 <br /> L <br /> ,)A 00 /03/ Igo ,a <br /> 53 _o/ <br /> L r7a , 0 / <br /> L 110 <br /> LPERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date: <br /> L47 <br /> TEST CERIFIED BY: Phone: 3UL 70 I Date: <br /> r <br /> OBSERVED BY (REHS): Phone: Date: <br /> EID 42-02-003 PERC TEST RATE FORMIo <br /> REVISED 5/7/02 r <br />