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�1L"C (� I•< i ( r <br /> • OWNER AU;Flij �cif�c,tit✓�L - -- /InDRLSS OR LOCATIONI_�PijGt�-._.7)4:i,- I<_�_:r� <br /> P.M. or S. NUMBER: - �'�-2 DATE : <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATE , SIZE OF HOLE: �( IF RCQUIRED) <br /> SOIL TYPE: GL r, <br /> REMARKS: HPi'-4D PF�� --- <br /> -- — - ---- —- -- - -- 36 i <br /> 41 <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) -------- - <br /> i 6 <br /> 71 <br /> B <br /> z . <br /> Ci <br /> --------------- <br /> �w <br /> I <br /> ! i i 1101 . i,!I TEST HOLE F'? <br /> a ftF,rliilt![, !�:;`,'I ( I; i�l:��( " ;•., I DO! I s r F;I i I I�•tF __ ----RCADIFIG--- -_-- _. . .._ - _ . _ <br /> WATER-bRUI - U) <br /> 10:00 <br /> --- ,' /z. <br /> 10'00 -15- l410S 13.37 .rG� <br /> / U D <br /> I <br /> 5_0 <br /> 10100 0.50 <br /> PERCOLATION RATE: (per � �� PERCOLATION RATE: :., <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA:---.--..,-- ;ocz) <br /> TEST PERFORMED BY: I_)GA�� C�I� 1), .ki TEST CERTIFIED BY: <br /> ., <br /> r���;;� •,OBSERVED BY (SANITARIAN) _—_-- _ /� sff� (R.C.E. or R.S. <br />