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Percolation Test Log
, PERCOLATION TEST LOG Time: aP/Y\ Date: 6_ Map/Lot No. Addiiess: 7 7 6), //Ot r �, �� ' Engineer: ✓ ( Health Agent: : GA RD+r6 '-h Expansion Area: Yes: o: Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: E If No, Why? �- Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: l L_ . . 1 SKETCH: [-] . _ 1 CIO L I . . _ • ... , , Notes: Water At: -IFt. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon' • (inches) Soil Texture Soil Color (USDA) Soil Mooing Other ISuucture•Stone;Boukkn. Cauistencr %Crawl A S I 0 frk 0 --, 1 / .,, n 11 3 ? 1 0tk 3 3,_ / 4 a ir\(\ c /O/Q y ' DEEP OBSERVATION HOLE LOG Depth from$urface Soil Horizon (inches) Soil Texture Soil Color - (USDA) Soil Mooing Other (Structure.Stoou•Boarlar, r Conlin %Gn I I rC • / nn ; ni