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ADDRESS OR LOCATION: I1 LI(yo APN: <br /> OWNER: DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> �A✓ 4 hour test 1 hour test <br /> REMARKS: �t�-.v�`"/ 3oi(tz'LastWaterDrop) 101(12•LasfWaterDrop) <br /> Deep less than or=30 minfm <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or=60minrn <br /> O <br /> SOIL PROFILE (IF REQUIRED) �� S,1i;(p Qac Z5.2 <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: `f In DEPTH: uZ In TEST HOLE #2 DIAMETER: in DEPTH: In <br /> TIME READING DROP REFFILLED TIME READING WATEWATER DROP REFFILLED <br /> I 1 00 <br /> �2 � S.y i � c�l �232 25.2 . Ick <br /> �.U3 1'.02 2�A oS � <br /> PERCOLATION RATE: 2�o min/in PERCOLATION RATE: IZ� min to <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 7147- 57(,P') Date: )2 <br /> TEST CERIFIED BY: Phone: Date: f/e71U G <br /> OBSERVED BY (REHS : Phone: J` j� f �O� Date: <br /> EHD 42-02-003 PERC TEST RATE FORM I <br /> REVISED 5/7/02 <br />