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OWNER 2�A6rt,zi5 m�rN�. sE2vs, ADDRESS OR LOCATION Aio27-H mor?,;-(D,4 57-5, <br /> P. M. or S. NUt iBER: DATE : <br /> I' <br /> DEPTH TO FIRST WATEP, SOIL PROFILE_ SIZE OF HOLE: ( IF REQUIRED) <br /> SOIL TYPE: II <br /> REMARKS: Z 31 <br /> fit=i2 c )L)c - 41 <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 61 <br /> 7' . <br /> 8' <br /> S IT ENVIROMEIJAL HEALTH <br /> S VERMIT/SERVICES <br /> TEST HOLE \3 TEST HOLE 4W1 a � <br /> TIME READNG W RDROP" REFILLED TIM READBG WATER RO ILLti <br /> L <br /> RCOLATION RATE: 3C) mr�-5 SrvGH PERCOLATION RATE: <br /> COMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> ST PERFORMED BY: TEST CERTIFIED BY: iZcto <br /> SERVED BY (SANITARIAN) (R. C.E. or R.S. i? S ��' <br />