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_,DDRESS OR LOCATION: 11 <br /> DATE: <br /> r)WNER: <br /> —APPLICATION#: <br /> DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 9EMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE (IF REQUIRED) <br /> De th Soil T e De th Soil T e Depth Soil Type Depth Soil T e Depth Soil T e <br /> TEST HOLE#1 DIAMETER: ID DEPTH: in TEST HOLE #2 DIAMETER: ID DEPTH: In <br /> WATER REFFILLED <br /> WATER REFFILLED TIME READING DROP <br /> TIME READING DROP <br /> , 249 Zit 1 �- <br /> 2 .I � <br /> 9„0 <br /> 2-AQ 24.20 • 1 0 Z'`f. 2- <br /> 1 -1-0. -1-0 <br /> �, yo ?azo fes{- 24 . E <br /> � : 50 .2 `0 <br /> min/in <br /> PERCOLATION RATE: 12 ��tt� min/in PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: _ <br /> • Date: '` - � ' ° <br /> I <br /> TEST PERFORMED BY: +� Phone: <br /> Phone: Date: <br /> TEST CERIFIED B <br /> Date: /- <br /> OBSERVED BY I Ell TEST RATE FORM I <br /> EHD 42-02-003 <br /> — REVISED 5/7/02 <br />