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UUFSt55 UH LUL,%AI IUIV: <br /> IWNER: <br /> APPLICATION#: DEPTH TO FIRST WATER: �j�- ft SOIL TYPE' <br /> 3EMARKS: � :.1Y�:� ? sCll 1 s e q l03 —'qg_j tga3Q No«►,c�. <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE (IF REQUIRED) <br /> De th Soil T e De th Soil T pe De th Soil T e De th Soil T e De th Soil T e <br /> TEST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE#2 DtAMETPR in DEPTH: In <br /> WATERWATER RF,FF'ILL.ED <br /> REFFILI,ED TIIvlfi ����' <br /> TIME READfNG DROP DROP <br /> �,�-q 2u. <br /> 0 AG <br /> f. <br /> 2LA 3g <br /> LA 3p DAA <br /> IIll11/1I1 <br /> min/in PFP2COLATtON RATE: <br /> PERCOLATION RATE: �`� <br /> f,COMMENDED SEPTIC AREA:SEPTIC AREA: t <br /> 7U� _ Date: <br /> TEST PERFORMED B t, { ...r Date: <br /> Phone: <br /> TEST CERIFIED B <br /> Phone: <br /> OBSERVED BY (RF1iS): <br /> l�� -n� / � � �./ � t1- �✓ Yi=.RC"('FSTIIATEFOItMIc <br /> EiD 42-02-003 r t,()/ld�J CX i� �� <br /> I,J I`wc FsC�e Ck�,(d vii` ohr {! ` �5��� <br /> REVISED 5/7102 <br /> -- <br /> tA/70 39dd 06IAN3 NMd3QNd _I3N 8ZZb69£69Z 9L bZ 599Z/6Z/80 <br />