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OWNER Jam yr -- ADDRESS OR LOCATION 5 y <br /> P.M. or--S- <br /> NUMBER: DATE <br /> T' SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: " (IF REQUIRED) <br /> SOIL TYPE:— <br /> REMARKS: <br /> YPE:REMARKS: 3' <br /> 4 ' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 61 <br /> 71 <br /> 80 <br /> LDIve 77Ze� ,2D <br /> �,aoJ <br /> 6c' <br /> v + <br /> Prv�bs�v , Ii <br /> s TEST HOLE #1 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED , TIME READING WATER DROP" REFILLED <br /> 2 <br /> PERCOLATION RATE: __ PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA:�� RECOMMENDED SEWAGE DISPOAL AREA: <br /> I ..,.. <br /> IS <br /> TEST-.E-K$RMED BY: TEST CERTIFIED BY <br /> OBSERVED BY (SANITARIAN (R.C.E. or R.S. #) <br />