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ADDRESS OR LOCATION: �o k r S M C> <br /> OWNER: . \1k C/ DATE:-- 0 <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: 2D <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 301L PROFILE(IF REQUIRED) <br /> De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> FEST HOLE#1 ' DIAMETER: LA in DEPTH: H in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFILL-ED TImE READING DROP WATER <br /> DROP REFILLED <br /> 3.3 <br /> c <br /> Df r= CS IJ 2 q 5 <br /> DfL) <br /> 12: it D <br /> -d <br /> PERCOLATION RATE: min/in PERCOLATION RATE: -min./in <br /> RECOMINIENDED SEPTIC AREA: RECOILNIENDED SEPTIC AREA: <br /> FEST PERFORNMED BY: 0 Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> DBSERVED BY(R-EHS Phone 341-�f3 Date <br /> '.FID 42-02-003 PERC TEST RATE FOR-Nflc <br /> LEVIS ED 5/7/02 <br /> 44" <br />