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T, DATE 3 0 <br /> OWNER: �- S �`--.� <br /> APPLICATION #: DEPTH TO FIRST WATER: ii SOILTYPE: <br /> 4 hour testhour test <br /> 39I(12'LasiWalerOrop} i01f72'Lasl'NaterDo) <br /> REMARKS: <br /> al Deep less Ehan or=39 minlin <br /> Shallow less Ihan or=60 minln <br /> LOCATION OF TEST HOLES (SHow WELLS AND STRUCTUFES) <br /> SOIL PFiOFiLE (IF REouIPRo) (�,zs> <br /> Depth Soil Type Depth Soil Type Qepth Soil Type Depth Sal!Type Depth Soil Type <br /> TEST HOLE #7 DIAMETER: ! In DF-PTH: in TEST HOLE#2 DIAMETER: _ in DEPTH: in <br /> WATER WATER REFFILLED <br /> k TIME READING DROP REPFILLED TIi\ READING DROP <br /> OZI <br /> b 3z/ r '�r� 3q �� �o37 3, 3 313110ZI 40 <br /> 70 <br /> �1 <br /> __ Lf <br /> 1 .5, qo <br /> PERCOLATION RATE: 4 minlin PERCOLATION RATE: <br /> o min/in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: _2/49 4d)� Date: <br /> TEST CERIFIED BY: Phone: /7��7�1� Date: C d <br /> OBSERVED BY (REHS): !�1 Phone: 11� 3 1 Date: 3 <br /> PERC TEST RATE FORMIc <br /> 5! EFID 42-02-003 <br /> REVISED 5!7102 <br />