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Percolation Test Log
PERCOLATION TEST LOG Time: a { Date: 4-!d-2 Z 1 Map/Lot No. Address: 3 (\..) . S t-e Engineer: y ir,, L , � Health Agent: S �'€'-.P..,.19-; `tip/`- i Expansion Area: Yes: No: . Suitable/Subsurface Sewage: Yes: No: R 1. Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: ii1 i If No, Why? Unsuitable: Why? t I 1 Well: Town'Water: Subdivision/Owner's Name: SKETCH: , 0. _Sy 1 e P-- 7-4, L. _4 L.,-) P..X . // Notes: Water At: rvoN eft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . • Soil Texture Soil Color Soil Motting Other (inches) (USDA) (structure,Stones.Boulders, Consistency,%Gravel) 6 A- 2. / o f- -3/1 6 3 6 " 13 /-- _S /0 tX . ��� � /c S a . 5 r4S . • • • • DEEP OBSERVATION HOLE LOG . • Depth fromSurface Soil Horizon . Soil Texture Soil Color , Soil Motting Other (inches) (USDA) ., (Structure,Stones.Boulders. Consistency,Y.Gravel) t n • re c c_ .. ... . . . b--: ,:„ 1/4571-y...,i\--) y '' . n - -s . oz., c)._ ;r ; ,--)