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LADDRESS OR LOCATION: APN: 20 101 tl I 2� 1 <br /> OWNER: ,qr AaAj LO r3� !� IkAN Sy DATE: 0+ <br /> LAPPLICATION#: I-Az -©1 1 DDEPTH TO FIRST WATER: /v/{k ft SOIL TYPE: <br /> I! REMARKS: IA !z <br /> LOCATION OF TEST HOLES(Show WELLS AND STRUCTURES <br /> LSOIL PROFILE (IF REQUIRED) -2, <br /> LDe thF-2s- <br /> TEST <br /> l Te Depth Soe th oiTe e oiT e e Soil Type <br /> HOLE <br /> in DEPTH: in TEST HOLE#2. DIAmtETER: I, in DEPTti;Z� in <br /> WATER <br /> TIME READING DROP -REFILLED TIME' READING DROPR REFILLED- - <br /> 4q 3 Cee? <br /> L` : 1 b 3•R4 0,3� 3, (0`� <br /> R';o (� 3,� o . v�► 3,1� 9 0� > 0,F3 25. 2 <br /> 3_-xl o. 1(4 3,b <br /> LIOtO(o 3, D , 11 3.(n5 ID°:O'l' d, >D, ' 1 <br /> L I t_` 0(v 2,q` o {�; 3,t,zL} I 10 <br /> LPERCOLATION RATE: I 1 _ min/in PERCOLATION RATE: — min/in <br /> RECONLNIE.YDED SEPTIC AREA: RECOtILtiIENDED SEPTIC AREA: t <br /> LTEST PERFORMED BY: Phone: X31/0 -?j�b 1 Date <br /> TEST CERTIFIED BY- Phone: ,l`��,p�-370 Date 9 a_0� <br /> �. OBSERVED BY (RENS): Phone 76�. o33d Date 8.7Y O <br /> t <br /> El ID 42-02-W3 - PERC TEST RATE FORN11c <br /> REVISED 517102 <br />