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AUUhtzbb UH LUUAI IUN: APN: <br /> OWNER: AA/moi_ m yjS DATE: 0 <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: 30/(12 LastwaterDrop) 10!(12'LastWaterDrop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow iess than or=60 mir/in__ <br /> Air <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> Y TEST HOLE #1 DIAMETER: �;r in DEPTH: in TEST HOLE #2 DIAMETER: / in DEPTH: ��f � In <br /> WATER <br /> ~. TImi READING DROP REFFILLED TIME READING DROPWATER REFFILLED <br /> an `fir,, �, 6 , 01 <br /> 3� E J <br /> Dev <br /> Py <br /> * 30 <br /> t <br /> PERCOLATION RATE: L• �� min/in PERCOLATION RATE: Z, <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: /—_ Phone: �ZQ— 90 Z Date: <br /> TEST CERIFIED B Phone: S ` T�61'Q Date: U <br /> OBSERVED BY (REHS): L-L k Phone: x-i� — Date: <br /> EHD 42-02-003 t PERC TEST RATE FORM lc <br /> REVISED 5/7/02 <br />