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Percolation Test Log
- . PERCOLATION TEST LOG Time: c,Z P/Y1 I Date: : ?_LI:132._ •• • Map/Lot No. Adchless: TC __s , Skor -e... Engineer: Ae-- Health Agent: 'f_..—S--.-,-- Gpt i Expansion Area: Yes: 1 o: . Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:- ; •: If No, Why? • Unsuitable: _ Why? ! Well: Town'Water: Subdivision/Owner's Name: I, . Exi.,S tAnc., ,,SyS r SKETCH: • I - • - • . . '.. / .... . ,. . _ • . . .• , . Li . . s 0 077, 1 • Notes: Water At: 8 1 DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon 1 ' Soil Texture Soil Color Soil Molting Other (inches) (USDA) ISIIIICIUre,SWIM,Boulders, . . Consisiency,%Gravel) • I A . 1 . • , 7 „ /5 , , ),) . i_ s . • • . . • . . • . • _ ... I DEEP OBSERVATION HOLE LOG • , Depth fromSurface Soil Horizon ' Soil Texture • Soil Color _ Soil Molting Other (inches) . 1 . (USDA) . . (sing:time.Stones.Boulders, • , . Consistency,%Gravel) , • . 0 • I e r c_ • . .. • . 7— . i e . . , • •• . . • • . 8 a. (3 c * • . • •• . . • . • . . 1