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Percolation Test Log
• PERCOLATION TEST LOG ""___ Time: e2 p ; Date: L/-•,2 6- Map/Lot No. Address:ss: 3 3 (3 ecl c tv e.{ Engineer: F- h1 e L,a%t-<.--e- Health Agent: ‘A, C A- v Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: ((i Expansion Area Tested: Yeses____ No: Leaching Field: Pits: Trenches: If No, Why? • _ 1 Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: SKETCH: _ _cJec _'-)/_ 07`"c -e Nr) v - _______________ , u _ i , . 0. , .... Notes: Water At: Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon' • Soil Texture Soil Color Soil Motting Other • (USDA) (Swnure,ston.m aoutdcn. Consincnc, %Gnvet 0 -- `l 9' P ; _ L /0 n `-/, / � s / `/R 37 • / " ` )— C/ / /v 2 j`) 1/6) C D t-Y- S 3s77 z, DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture • (inches) Soil Color Soil Mottin — (USDA) R Other (Structure,S+oneI.Baddor, t tu Co ueney,% yet) J i QrcJ . ' J AOC1/0 n--- • -