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u <br /> t <br /> n a <br /> r + <br /> I <br /> PERCOLATION TEST <br /> OWNER.' ADDRESS OR LOCATION: eAMjCa2k V <br /> P.M.or S.T�UIMER: DATE: Z J — - <br /> SOIL PROFILE i <br /> (IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: I � � <br /> i' 1 <br /> SOIL TYPE: <br /> E 3 <br /> REMARKS' 51 <br /> r <br /> b, <br /> 7' <br /> 9' i <br /> I� LOCATION OF TEST HOLES ON PROPERTY Ip, I <br /> ,F SHOW ANY w'ELLS AND STRUCTURES) <br /> f <br /> F) <br /> t <br /> E' <br /> 1.4 <br /> sAskcs L <br /> (�S TEST HOLE # 1 TEST HOLE N 2 <br /> TME READLIG WATER WATER REFILL TIME READING WATER WATER REFILL i <br /> DROP' DROP" DROP'. DROP <br /> 11to 44216.M <br /> 44 <br /> -- <br /> fo:e <br /> t — I 0 2 <br /> f l C I 14 .38 f�o !•: L Z0 <br /> PERC LATI N 1tAT1; ` �Y�' pERCOLATIONLTE: y <br /> RECOKMENDED'SEWAGE DISPOSAL AREA: RECON2v[ENDED SEWAGE DISPOSAL AREA: <br /> p <br /> 'M <br /> TEST PERFORMED BY: TEST CI=RTIFD BY: <br />