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rri TI11-1 1 I I <br />4 .0 2_ <br />TIME READING <br /> WATER DROP <br />1:;0 t>rio <br />$:00 ({-4S <br />:00 Pr5 <br />).59 <br />r/ <br />8:30 44.(4$ <br />crop H.(11 <br />cv.so 4. <br />Knoo <br />10:30 LI .4 41 <br />.40 WOO 4.5i <br />LATION RATE: 6.2r mintin <br />6 Z- <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: 0-00 Y6 q-03 2 g- Date <br />Phone: Date <br />Phone t -'2' -Kc• ( r°--30- Date <br />PERC TEST RATE FORM <br />PE000LM10/1ttzT DITCH <br />r OlaInter PVC No <br />PERCOLKDIM TEST MUCH <br />r Dawes PVC Plc.e <br />ADDRESS OR LO rioN: <br />OWNER NAME: I CLIPSC <br />APN: 001 ' - 4-/ APPLICATION ti: 5 RD 0'3 3 4ci DEPTH TO FIRST WATER: Ft <br />SOIL TYPE: 5"\ -812 err' rr Or) YYI cz„ <br />REMARKS: <br />LOCATION OF TEST HOLES [SHOW WELLS AND STRUCTURES) <br />!LI I L LLLI_LLLL_L L__-t_ Li <br />- <br />017 ` g r RT. <br />ROM lvvvt Si - )3 <br />SOIL PROFILE (IF REQUIRED) <br />Soil Type Depth Soil Type Depth <br />tl 1-1-i sevai <br />Test Hole # 1 <br />I Parcel: 1 I Diameter: 4 in I Depth: z..13' <br />ERTIFIED BY. <br />VED BY (RENS)* <br />REV 11)2/09 <br />13.17' <br />AefM Lwat rrm-rri <br />Soil Type <br />TIME READING WATER DROP REFILLED <br />— <br />mivilin <br />Soil Type Depth <br />- 1.13' <br />REFILLED <br />_3.674 <br />3.414 <br />'01. <br />\ Depth <br />4.,' <br />.4a. I-1.10 <br />4.11 <br />I <br />Soil Type Depth <br />MENDED SEPTIC Ar: <br />ERFORMED BY: <br />- 10,:fe•-• <br />• <br />1 <br />Test Hole #2 <br />Parcel: I Diameter: in I Depth: <br />Address: 26090 N. Thornton Rd, Thornton ID: SR0083788 <br />Naseem Ahmed, Registered Environmental Health Specialist