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P.M. or S. NUMBER: _lV 1� G-- DATE: <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER: ��� `Zb OF HOLE :��=((1" 2= (p" IF REQUIRED) <br /> 1 ' <br /> SOIL TYPE: 2 <br /> 3 ' <br /> REMARKS : 4 ' <br /> 5 ' <br /> 6' <br /> 7 ' <br /> LOCATION OF TEST HOLES ON PROPERTY g ' <br /> (SHOW ANY WELLS AND STRUCTURES) <br /> .P, TEST HOLE #1 O TEST HOLE #2 <br /> TIME READING WATER DROP" REFILLED TIME READING WATER DROP" REFILLED <br /> IL . 4,D 3/ u <br /> 44 <br /> O Q I�R�i <br /> 3/4u <br /> io 3 ►► <br /> 40 <br /> PERCOLATION RATE : _ l 111 PERCOLATION RATE; <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> l Z10C)o <br /> TEST PERFORMED BY: T=,or %A�7 7':_�t- TEST CERTIFIED B : L <br /> OBSERVED BY (SANITARIAN , V2�7�P­OBSERVED BY ( SANITARIAN) f C� <br />