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OWNER pLF�- - .A, ry.-�� ADDRESS OR LOCATION -7 <br /> TRAcy�CA. 9.5 <br /> P.M NUMBER: - 1- 0s DATE: q/ 4%91 �2��835-7114- <br /> -.4 <br /> 4 <br /> .a AND ; pk$ �os� �� SOIL PROFILE <br /> DEPTH TO FIRST WAT RAM iM SIZE OF HOLE: �1.�. (IF REQUIRED) <br /> SOIL TYPE: BRowai c LAy t_oAj.,j _ <br /> No wA �: K�t�tR 1r� ',� ►N PERcoLATo1.4 C�Zfi NoS_ I AAbb 2 ' { _ <br /> REMARKS: AFAR vt - 31 <br /> MOD MII"TE 41 NS IWro F-S9r_A A-noiA T£`ST Nair <br /> �!"7 A ` N� ,• - .iAE 1.4tG14-r 4' <br /> LOCATION OF TEST HOLES ON PROPERTY Sc�Ak�NC� �Ro�� 5' <br /> (SHOW ANY WELLS AND STRUCTURES) <br /> 6' CLAYEY ADAM <br /> 7' <br /> I 8' <br /> 9J - <br /> � "PCEL.. M,,,' <br /> ;O <br /> �o;Z.Tl-t� SQ'�crt�l C l..oc„liT1 orl b�TK�.• � <br /> TbTAL QE ar DFPPiJ To <br /> ' TEST HOLE #1 £ R = y;�TEST HOLE #2A a <br /> TIME READIAG WATER DROP11ILL IM READING WA R DROP11 REFILLED <br /> LLEL <br /> flAn Z9 .31 <br /> 00Z30 3 <br /> er MIN e f <br /> 72 <br /> P 30 <br /> PERCOLATION RATE: - I2M11t-PEQ iNCN <br /> {` }; _ 1z = �o r<<�. ,F� PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> o00 5Q. <br /> TEST CERTIFIED BY: <br /> FJ PERFORMED BY: wpL r-.. Cuq,Tt.• A�.T�R GU RT15 <br /> OBSERVED BY (SANITARIAN) (R.C.E. yr ft-S. #) <br /> EH 13 11 <br />