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DRESS OR LOCATION: �, ��� <br /> . 6 t i _. APN: _ <br /> JNER: l � /� \ . <br /> 1 � �1 ` 1 ,Y DATE: 1 <br /> PLICATION <br /> DEPTH TO FIRST WATER: ft SO1 �YPE: <br /> 2005 OCT Ali, <br /> 9t <br /> 4. i <br /> �ML�j LOCATION OF TEST HOLESSHOW.WELLC °" <br /> I i � - <br /> - ► I I f <br /> t I <br /> L PROFILE(IF REQUIRED) ����i cS.L4_7 <br /> )e th Soil Type Depth Soil Type Depth Soil TVpe Depth Soil T e Depth Soil Type <br /> T HOLE#9 ]DIAMETER: in DEPTH: in TEST HOLE#2 DiAME,TER: In DEPTH: in <br /> WATER WATER <br /> r1ME READING REFILLED TIME READING REFILLED <br /> DROP DROP <br /> J�Li e'3 <br /> ZZ . <br /> V: z �- 5� S .`� q' 3c� Z2 • +I � � <br /> U. D2 5, .Q3 ,�Z 5 .35 10: 00 12 ..4I <br /> X2.83 <br /> 1:02— -3-Z5 �-�SCJ <br /> 1X32 �5 '5- . IA3 1130 <br /> 2-1,0 <br /> IZ:30 zZ.7� �`F5 <br /> ::OLATION RATE: �} �,?j min/in PERCOLATION RATE: min/in <br /> OMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> 'PERFORMED BY: Phone: —7 Date ^n <br /> CERTIFIED BY: Phone:_73��_L_: Date <br /> ?RVED BY(REHS): Z Phone <br /> Date <br /> i-01-003 <br /> ED 5/7/2002 PERC TEST RATE-FORMIc I <br />