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ADDRESS OR LOCATION: �' I Z APN: <br /> OWNER: "`^ DATE: �i ' 2, it . O <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4hour test lhcurtest <br /> REMARKS: I"kfzcc L Z 301(12'last Water Drop) 701(12'La Water Drool <br /> Deep less than ;11610 <br /> =30 minlin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shalow leaat ana=somdin <br /> ' lu . <br /> RJL- <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Ty e Depth Soil Type Depth Soil Tye Depth Soil T e <br /> A <br /> Q/v�( <br /> TEST HOLE #1 DIAMETER: In DEPTH: in TEST HOLE#2 DIAMETER: In DEPTH: In <br /> WATER o, <br /> TIIrM�EE�b READING DROP REFFILt1LDE--D TIME READING DROP REFFIL ED <br /> 10 ;1'09 � 'r 10. 2Z <br /> S , Z 11 : 22 <br /> � � r <br /> 1 . uo <br /> PERCOLATION RATE: 4� /���iSai*in PERCOLATION RATE: �' lmin/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:2310"l 4Q \ Date: <br /> TEST CERIFIED BY: Phone: iy� �7� Date: <br /> OBSERVED BY(REHS . Phone: Date: <br /> ERD 42-02-003 PERC TEST RATE FORM 1c <br /> REVISED 5n102 <br />