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OWNER ( th - Guts ADDRESS OR LOC ON 3 J/ 5—:7- 1-/ZJ%/Ze <br /> P.M. or S. NUMBER: DATE : � I 2�/� / 20 0)• 4,01 <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER SIZE OF HOLE: ( IF REQUIRED) <br /> SOIL TYPE: 1 <br /> 2 ' <br /> REMARKS: <br /> 3' <br /> 4' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 7 <br /> i f5o' I / &0' S of rkX1 T-, n G- g' <br /> Gv� 't iuAlli /2cP aL�/ ,5 n r�uFn flE - <br /> 5 7L c-c�r�NrY,z of toAvAm2r/ <br /> A � <br /> )14 <br /> d <br /> H <br /> TEST HOLE Ill r O" TEST HOLE 92 312 <br /> TIME- R I' G W R RO " REFILLED TIME READING W RDROP" REFILLED <br /> 5 5- <br /> L7' 0'' � 2 t : nz 3 11. 7 c , S- <br /> 37 3z 117 <br /> I <br /> OkOLATI01IN <br /> IZ1 9 j1 1, 5- 1 = 3 z II/. .>2 : 3 11. S? n g:0 RATE: �� S `4RCOLAT ON I�2 E: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: TEST CERTIFIED BY!--;;L,,, <br /> OBSERVED BY (SANITARIAN) (R.C.E. or R.S. 1) r / a <br />