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ADDRESS OR LOCATION: APN: 0 <br /> OWNER: DATE: — 0 <br /> APPLICATION -#': DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: LD 21 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> -7— <br /> F V <br /> SOIL PROFILE (IF REQUIRED) -(p <br /> Depth_ Soil Type Depth Soil T e Depth Soil Type Depth Soil Type Depth Soil Type <br /> FEST HOLE#1 ' DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING DROP WATER REFILLED TirviE READING DROP WATER REFILLED <br /> q Dr <br /> 7- <br /> Drq <br /> x.50 3.5 <br /> F <br /> lV :3g <br /> :> <br /> PERCOLATION RATE: I min/in PERCOLATION RATE: min/in <br /> RECONENIENDED SEPTIC AREA: RECOIIVYIENDED SEPTIC AREA: <br /> TEST PERFORNIED,BY: Phone:(2 09) 7�j L Date <br /> TEST CERTIFIED BY: Phone: � -r Date <br /> 6 <br /> JPSERVED BY(R-EHS): Phone 11"01) Date <br /> AHD 42-02-003p PERC TEST PATE FORMIC <br /> ,EVISED 5/7/02 <br />