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AL)IJKL55 UH LU(-Al IUIV: <br /> )WNER: DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: ? In DEPTH: �41 In TEST HOLE#2 DIAMETER: In DEPTH: In <br /> TIME READING WATER DROP REFFILLED TIME READING WATER DROP REFFILLED <br /> m. <br /> PERCOLATION RATE: L min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> Phonef ( Date: <br /> TEST PERFORMED BY: 1,;,,a t . <br /> TEST CERIFIED BY: Phone: 36 7__T_ Date: <br /> OBSERVED BY (REHS): Phone: ieC� Date: <br /> EHD 42-02-003 PERE TEST RATE FORM Ic <br /> REVISED 5/7/02 <br /> ��- <br />