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r,. or -S. NLMER: .MS 9Z-3q [TATE: ;�j;,/; 27 �VOV �/ (IFuRDaUI RED) <br /> PTH TO FIRST WATER: 103A= i/2/z SIZE OF HDL.E: <br /> P-36= /20 `� �APPROX <br /> IL TYPE: 2. <br /> MARKS: 45 7 a 81- S7'A7A A-PPVaX 3. <br /> /00 r— /Os r, 4. <br /> :CATION OF TEST HOLES ON PROPERTY 5. <br /> SHOW ANY WELLS AND STRLMURES) <br /> 6. <br /> 7 . <br /> P-3f3 <br /> 8. <br /> ;tont — <br /> TEST HOLE -K P-3,+ TEST HDLE -e P-36 <br /> TIME READ I NG WATER DROP" REFILLED TIiME READING WATER DROP" REF I I I Fn <br /> o ;05' S3'/ /n "0 �— /C' -?//' <br /> /v 3s /00 /7 /u <br /> PEICDLATICN RATE: rn).-S� c- GI2��}PEICOLATION RATE: �j Mites f lS� pepj}f <br /> H <br /> RE MVIENDED SEWAGE DISPOSAL AREA: REOUAVIENDED SOAACE DISPOSAL AREA: <br /> T <br /> TEST PERFORMED BY: G°6/41l k TEST PERFORMED BY: i vc- <br /> OBSERVED BY (SANITARIAN) /;, � 1j (R.C.E. or R.S.#) <br />