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OWNER SAf?-v5 ADDRESS OR LOCATION <br /> P.M. or S. NUMIBER: DATE : 6 -g� <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATEP, SIZE OF HOLE: rr ( IF REOUIRED) I <br /> SOIL TYPE: <br /> 2 - <br /> REMARKS: I <br /> 3' <br /> Pea c No . s a ' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 7' <br /> 8' <br /> I <br /> _ r—J <br /> ENVii VE.,�TAL HEALTH <br /> r Lh„ji i/SERVICES <br /> TEST HOLE ,f S TEST HOLE <br /> TIME REAUNG WATERDROP" REFILLED TIM READING WATER DROPILLEL7 <br /> �jZy j �5 1fe <br /> �3 L/ <br /> "I lAe <br /> :OLATION RATE: PERCOLATION RATE: <br /> 1MENDE0 SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> RFORMED BY: Sr,,-n TEST CERTIFIED BY: <br /> ., BY (SANITARIAN) (R. C.E. or R.S. 1) 2iiu H6it,F,61,,: .�1� Zc�z-57 <br /> a <br />