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ADDRESS OR LOCATION: 11 LI lCeA�1Q APN: <br /> OWNER: Fc4jg DATE:_17 <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> `J <br /> REMARKS: oyck i 3 30/(12'LastwaterDrop) 101(12'Last Water Drop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallow less than or=60min/in <br /> �J <br /> SOIL PROFILE (IF REQUIRED) Pe- 'j LP41 [3 � <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: HIn DEPTH: qZ in TEST HOLE #2 DIAMETER: y in DEPTH: L�� in <br /> TIME READING WATER DROP REFFILLED T I\'i I READING WATER DROP REFFILLED <br /> (0� <br /> ID <br /> PERCOLATION RATE c_.l min/in PERCOLATION RATE. min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: / Phone: 7�7 7�p7j Date: 12 5 0S <br /> TEST CERIFIED BY: `_`- Phone: Date: G E <br /> OBSERVED BY (R H Phone: Date: r <br /> 1 <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />