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y ]•. :i Il <br /> \UUhtb5 UN 4-UIjAl IVIV- <br /> p DATE: <br /> I <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE <br /> I REMARKS: RAY i �� �t�� �� (� 'o��S� l 3 l 'O`'�'J • <br /> _ 2 d LOCATION OFTEST HOLES(SHow WELLS AND STRUCTURES) r'Z <br /> I <br /> LLtj <br /> 4 � <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth <br /> Soik T e Depth <br /> Soil T 2 De th Soil T e Depth Soil Tye De h Spill` <br /> ii <br /> 'I <br /> TEST HOLE#1 DIAMETER; _in DEPTH: in TE=ST HOLE#2 DIAMETER: in r)=PTH: in <br /> I WATER <br /> TIME WATER READINGE READING Rf r�ILLL�ll TPAE DROP RErrILLED <br /> DROP <br /> I <br /> v <br /> 'L.Q SII <br /> 'k L <br /> PERCOLATION RATE' tlun/ul PEItCOLATiON RATE: <br /> RECOMMENDED P"I`IC AREA: <br /> RECOMMENDED SEPTIC AREA; SE <br /> Phone: - 3?D 1 Date: <br /> TEST PERFORMED B2ta <br /> �l <br /> Phone: Date: �^!�-Q <br /> TEST C12RIFIFD BY: l <br /> Phone: Rate: . <br /> 013SERVED BY(R-EHS): i <br /> PL•RC"FEST RLATE FORMIC <br /> RHD42•0z-003 �(N l Ct'I`!� Nd�� r D�^ Sr' ., t?C}lkd� (lu flVGC( <br /> REVISED 5r7/02 <br /> ���'c,� v�r`7�u-c... �t-vY►�'kc �5 P�f�o �u(J c^c)r o h/Pc <br /> 170/E0 3!)Vd 08IAN3 NDS63QNd -1I3N 8Zzb69E60z 91:VT 500Z/81/80 <br />