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ADDRESS OR LOCATION: %�O,c APN: -bj <br /> OWNER: DATE: <br /> APPLICATION PAA 6q DEPTH TO FIRST WATER: JA ft SOILTYPE: <br /> REMARKS: F;n Povct-A <br /> LOCATION OF TEST HOLES (Show WELLS AND STRUCTURES <br /> II JrA IJI it <br /> ; j Iil { Llid <br /> ffl Ili iILI <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type —Depth Soil Type De th Soil Type Depth <br /> L <br /> `TEST HOLE#1 DIAMETER: J � in DEPTH:Z W TEST HOLE 42 DIAMETER: 1. 5 in DEPTH: 3�lmr <br /> WATER WATER <br /> TIME READING DROP REFILLED TirviE READING DROP REFILLED <br /> Y. <br /> -7*- 10 Dv� — o2/f-.50 _7 -- F5 .2 . 'l3 <br /> L 7'40 9zf '0,3 0.03 -7 :43 02 .93 OZO <br /> 6: 105,2 0,011 8- 13 0:00 <br /> L <br /> 5:40 24-.ba - 43 v?, c1:5 o .0c) , <br /> L R.- jo 22f.ta o.cc 1 .5 ; .g 5 0. 00 <br /> U 9: /+,5 a .93 () , 00 <br /> L ": 40 6z- 0 - C) <br /> 0 /0: 13 x ,95 CD . 0 0 <br /> L to: 4o �+.;ba -o ,ot 0 . 00 <br /> 5 a p ,00 1113 A, D <br /> L PERCOLATION RATE: M at fr_e,YWt^°'i Al, atin/i, PERCOLATION RATE: IAO m rv-cl� utin/in <br /> LRECOMMENDED SEPTIC RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 3(0-7 Date /7-3/OL+ <br /> 6. <br /> TEST CERTIFIED BY: Phone:567,557-0/ Date to—/ —0 <br /> OBSERVED BY REHS - Date y <br /> LElID42-0-2-003 <br /> REVISED 5/7/02 PERC TEST RATE FORMIC <br />