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OWNER: DATE: . / <br /> L <br /> APPLICATION #: DEPTH TO FIRST WATER: tt :.OIL TYFE: <br /> A hour lest 1 hour test <br /> REMARKS: C 301(12* astWaterDrop) 10102'LaslWater Drop) <br /> __ Deep less than or=30 min/in <br /> i-ELOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I Shallow tessthanor=60minlin <br /> I I I\ � I � <br /> SOIL PROFILE (IF REQUIRED) 3, 71 <br /> Depth Soil Type I Dept Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> lie 4VI, tk4 0" <br /> TEST HOLE#1 DIAMETER: in DEPTH: /�q q TEST HOLE#2 DIAMETER: In DEPTH: In <br /> TINIE READING WATER REFFILLED TIME READING WATER REFFILLED <br /> �. DROP DROP <br /> D � 3 , 70 <br /> r0 6-D <br /> 3t <br /> 0 <br /> PERCOLATION RATE: `�� Zi —min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: �j <br /> TEST PERFORMED BY: Phone: �/( ,SP1 gZ� Date:,27 C% <br /> tyl In L 13 <br /> TEST CERIFIED BY: Phone: c� �� Date: <br /> OBSERVED BY (REHS): ' Phone: _ Date: <br /> EED 42-02-003 / PERC TEST RATE FORMIC <br /> REVISED 5/7/02 <br />