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9 • f <br /> PERCOLATION TEST <br /> OWNER: ! ADDRESS OR LOCATION:�;� A <br /> P.M.or S.N-UNMER: DATE: `L 0 0 I SOIL.PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: (IF REQIMED) <br /> I' <br /> SOM TYPE: 2+ <br /> 3' I <br /> REMARKS: { S <br /> 6' <br /> 7' <br /> � 8 G9' <br /> LOCATION OF TEST HOLES ON PROPERTY <br /> SHOW AW WELLS AND STRUCTURES) <br /> ,k I <br /> TEST HOLE # S) TEST HOLE #2 <br /> I <br /> TIME READiG WATER WATER REFILL TP4fE RF_AI7ING WATER WATER REFILL I <br /> f DROP' DROP" DROP' DROP" <br /> !p <br /> q2 35' <br /> S'rZ Z.fo�5 - 3�' S S�E1v 2-r`3S .c�•z` -- <br /> z <br /> leak AL 2 S • o <br /> -7 �- <br /> 1jZ.��z <br /> U o-� �— <br /> P�RCOLATIO RA'T'E: �_ 1�.� V R��R��M�Af� PERCOLATION RATE: <br /> L -S9 30 <br /> RECOMLMENDED SEWAGE DISPOSAL AREA; RECOMmENDED SEWAGE DI5POSAL AREA: <br /> TE5T PE OkOiLM ZDIBY: <br /> TEST CERTIFIED BY: <br /> ',lo:La �a.�a i�•fa ya fi tea:��va��i-�L y3,o <br />