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! J [ � <br /> PERCOLATION TEST <br /> j OWNER: ADDRESS OR LOCATION: <br /> P.M. or S. NUMBER: DATE: Co I q /Q3 SOIL PROFILE <br /> �. A. <br /> DEPTH TO FIRST WATER:• SIZE OF HOLE: 1' <br /> SOIL TYPE: 2' <br /> REMARKS: 3' <br /> Fi' <br /> 4' <br /> F'. LOCATION OF TEST HOLES ON PROPERTY <br /> (Show any wells or structures) 6' <br /> 9, <br /> 1 4 1 a I •��• <br /> m - <br /> lo <br /> Bottom ✓V Fill to: bo Bottom: Fill o• <br /> TEST HOLE#1 TEST HOLE#2 - y <br /> TIME IREADING1 WATER DROP" I REFILL TIME IREADING1 WATER DROP " FILL <br /> ` ' I ,0U` I is y3 S:Do <br /> s:. of <br /> 1: 10 5 ` Q. -7(d SD` [ ' 13 D 1 ` ---- {j•� <br /> 0. <br /> 3:t415 fod n -7 <br /> PERCOLATION RATE: 3 ' =7• �y PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA:__ <br /> p ' TEST PERFORMED BY: TEST CERTIFIED BY: <br /> OBSERVED BY(ENVIRO. HEAL ): R.C.E. or R.S.#: <br /> kak&%z, 26L.--�dv <br /> p3 <br /> � pM 5 f � <br />