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DRESS OR L CATION: M 550 I2 <br /> to - PN: 051 -- 1 lo--0I <br /> DATE: <br /> INER: p- <br /> WATER: <br /> :ATION #: DEPTH TO FIRST WATER: (051- 575-- ft SOIL TYPE: <br /> :MARKS: O' <br /> s <br /> j_ gOCATION OF TEST HOLES SHOW WELLS ANO STRUCTURES <br /> I - <br /> )IL PROFILE (IF REQUIRED) <br /> De th Soil T e De th Soil T e De th Soil T e De th Soil T e De th Soil T e <br /> :ST HOLE#1 DIAMETER: in DEPTH:., In If TEST HOLE#2 DIAMETER: <br /> in DEPTH: in <br /> WATER WATER REFILLED <br /> REFILLED TIME READING DROP <br /> TIME READING <br /> DROP <br /> ./D 3 .7Co <br /> q : 10 3. x. 55 z- 5d <br /> q : �0 Aa'r . <br /> 00 . 37 �- <br /> 0 : jo 3. 21 -7 <br /> �2. D , 3cW <br /> R <br /> 6 / <br /> PERCOLATION RATE: to min/in PERCOLATION RATE: mien <br /> RECOMMENDED SEPT A: RECOMMENDED SEPTIC AREA: <br /> Phone: Date <br /> ST PERFORMED BY f <br /> Phone: ' f-;4%— Date <br /> TEST.CERTIFIED BY: <br /> Phone Date <br /> OBSERVED BY (REHS):I�"2/ � PE-RCTEST RATE FORMIc <br /> EI ID 42-e1-003 <br /> REVISED sn12002 <br /> 1"a <br />