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OWtJER ' .I U ANt TR �� ADDRESS OR LOCATION 9 -S 4-"L S. P ( ES <br /> P. M. OR S NUMBER:—MS- 95-99 DATE: 'tZ OCl R0 SOIL PROFILE <br /> DEPTH TO FIRST WATER : SIZE OF HOLE: ( IF REQUIRED) <br /> SOIL TYPE: SAND 1 <br /> REMARKS: 2 <br /> 3 <br /> LOCATION OF TEST HOLES ON PROPERTY <br /> 4 <br /> ( SHOW ANY WELLS AND STRUCTURES ) <br /> 5 <br /> E C E 1"VELD" 6 <br /> 0 C T 9 1009 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES 8 <br /> TEST HOLE # TEST HOLE # <br /> TIME READING WATER DROP" REFILLED TIME READING WATER DROP REFILLED <br /> `7;u / l <br /> cc <br /> PERCOLATION RATE: �•2- ���INC(i PERCOLATION RATE: �- MirJl(Ncti <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> G000 SQ • FT• (0000 SQ. T"(' <br /> TEST PERFORMED BY : aw-F- Ftyy- y TEST CERTIFIED BY: 94�— <br /> V,17.4 I <br /> OBSERVED BY ( SANITARIAN ) Z_- � R. C. E OR R. S. # �' C l�Z•�q <br />