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PERCOLATION TEST <br /> OWNER: 6jAsS,-Z�YAi ADDRESS OR LOCATION: <br /> P.M.or S.Nti'UMBER. DATESOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: (IF REQI_TRED) <br /> 1' <br /> SOIL TYPE: CZf_l9tS GLS O 3' <br /> a� ; <br /> REMARKS: C <br /> s' <br /> 6' <br /> 7- <br /> 8' <br /> '8' <br /> ' <br /> LOCATION OF TEST HOLES ON PROPERTY 9 1 <br /> SHOW ANY WELLS AND STRUCTURES) <br /> �u ;D <br /> 3 x' c r ?eA c4Va rte <br /> 4 -5 TEST HOLE # 1 TEST HOLE # 2 g <br /> TI`fE RE-ADING WATER WATER REFILL TihIE READD' G WATER WATER REFILL <br /> DROP' DROP" DROP' DROP" <br /> �j <br /> 6 I S eml r) <br /> 1 -5 <br /> 8�7 �� ,0" �: U►1 <br /> ca co, g�lnlo S- <br /> y-0 <br /> r <br /> PERCOLATION RATE: /�j) D'• YV�L 6^L;r,, PERCOLATION RATE <br /> RECONPvT-LADED SEWAGE DISPOSAL AREA: RECOIvL IENDED SEWAGE DISPOSAL ARE 4: T <br /> TEST PERFORMED BY: TEST CERTIFIFD BY: <br /> r' <br /> o 2 —l—Z-t/uZ <br />