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ii. ADDRESS OR LOCATION: APN: <br /> OWNER: DATE: <br /> jr APPLICAT ION DEPTH TO FIRST WATER: it <br /> SOIL TYPE: <br /> REMARKS:- <br /> L LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> [-A 177= <br /> 04 11 <br /> i M I I I I <br /> 2 T <br /> 7 1 1 11 <br /> II IlN1 I I i i i I I I I I I I I <br /> II II ! IIIIIII ! I I 1 1 1 it- 1 Jill I <br /> bw SOIL PROFILE (IF REQUIRED) <br /> Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> L <br /> TEST HOLE#1 DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: *ZSf in <br /> TIME READING WATER REFILLED TmE REAWNG-7 WATER <br /> REFILLED <br /> DROP e4-,q DROP <br /> L <br /> all / 4,o71 a-\' <br /> 4,w d,16, <br /> ZZ f 6,,95-/ t <br /> 4. <br /> J14 0- Is <br /> S4 <br /> PERCOLATION RATE:_ minfin PERCOLATION RATE: min/in <br /> RECOML ,jqENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFOR1vfED BY: Phone: 2&1 Ileg Date <br /> TEST CERTIFIED BY: Phone:ap� 3(,-7t3ZOL Date <br /> OBSERVED BY(RFHS): Phone 4,0j5 Z116&-,-3�; Date 1117-11Lt?-- <br /> *, ",4-, 1114 -'s, - <br /> //,/(, - Z"6 4�� <br /> fr 11r.,Z � <br /> qMD 42%& 0'171 ,gRC TEST RATE FORMk <br /> REYISED 5nm <br />