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DAN i:?,. SG HAG IC <br /> OWNER MIGHA�l allAF-V\P_0Ll ADDRESS OR LOCATION 273c1 S.MAcA;z_1NUe D►2-.,TRAcY <br /> P.M. or S. NUMBER: SU - 85-(o DATE: 5- x - 86 <br /> DEPTH TO FIRST WATEP.r 07 t 14000NTP,R,1P SIZE OF HOLE: ,alx3�'� SOIL PROFILE <br /> (IF REQUIRED) <br /> SOIL TYPE: 8t201,JiJ �P•�1GY C;LA1' 1 ' <br /> 2 ' <br /> REMARKS: <br /> 3' <br /> 4' <br /> LOCATION OF TEST HOLES ON PROPERTY �I51 <br /> (SHOW ANY WELLS AND STRUCTURES) TF-ST � `� ? 2 61 <br /> F�/ALPIco ROAD <br /> I <br /> r 7 <br /> � I <br /> 4LM DRA WA I <br /> w I <br /> I <br /> � I ' <br /> !-douse <br /> F.510 WC LF- <br /> LL <br /> B tY <br /> QGA Kl",wlRo coURf <br /> CIE v. � <br /> QY <br /> ► o POs G�fU-t � 5;orM5 <br /> TEST HOLE #2 <br /> TIMEJ READENG WTER DROP" REFILLED TIME READING W R ROP REFILLED <br /> 1Z :/S Z= <br /> 34 <br /> q ''/z" _ <br /> I <br /> PERCOLATION RATE: ml ir- T PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> EST PERFORMED BY: TEST CERTIFIED BY: <br /> BSERVED BY (SANITARIAN) , ,r'1 (R.C.E. or R.S. #) <br />