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OWNER m&,xj 5�;r2✓s, ADDRESS OR LOCATION <br /> P. M. or S. NUMBER: DATE :- <br /> DEPTH TO FIRST WATER (� SIZE OF HOLE: 6 SOIL PROFILE <br /> n ( IF REQUIRED) <br /> SOIL TYPE: I <br /> 2 ' <br /> REMARKS: 3 Sncx-ciP 3' <br /> 41 <br /> LOCATION OF TEST HOLES ON PROPERTY 5 ' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 71 <br /> 8' <br /> I y <br /> r„ n.P.. <br /> ENti� TAL HEALTH <br /> t bk .-i i/Z,E-cVICu-S <br /> 2(l <br /> TEST HOLE _ ! TEST HOLE 1z •�ct <br /> TIME READBG WATER DRO REFILLED TIM READING WATER DROpiu- ILLEE <br /> 7-7-0 <br /> 9.'s-0 3 <br /> q 3'.3 ;,'lt . <br /> 10 ' 3 'z1= ' <br />:RCOLATION RATE: PERCOLATION RATE: <br />;COMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br />:ST PERFORMED BY: TEST CERTIFIED BY: )Cot,.) /Ye �jze^� A< <br /> i3SERYEO BY (SANITARIAN) C '2" (R. C.E. or R.S. 4) -:�-q 'ZSR <br />