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OWNER ADDRESS OR LOCE.,...,JN 2n:�Ar� W© fy 4s w <br /> AcAn�pa r_6, 95220 <br /> P.M. or S. NUMBER: - - ? DATE: EZI2 (ZcA) g,',41 <br /> NGcSurr'�?1`D <br /> P7-$Z ^D 1K#,-Tr-Q�TQ$T I SOIL PROFILE <br /> DEPTH TO FIRST WATER AT SIZE OF HOLE: 12Z 11,4 . ( IF REQUIRED) <br /> �xcAY�'�D'T"o�A N o� �' '. R1C•l�OL�,-$R�1�ve�.( I <br /> SOIL TYPE: SA Lo A n F-' ebLce---mp,o( Hoo(-T <br /> MO WA-MV kF-m �KEz� Nom µoS. p1 tj>Z Z <br /> REMARKS: A#71-=9- aveR- tNiGH7- so,1v- 1,AG. 3' <br /> SL\4 1 Vr-,K �dt-1 <br /> yT {�oL� Ncv Pi P2 ocCURRE� DURit,1G '1 £ 0111 IZ 4' <br /> LOCATION OF TEST HOLES ON PROPERTY Kt�� SoAKtirlG 5' sqH At qj ;tt1 <br /> (SHOW ANY WELLS AND STRUCTURES) 9855 ' <br /> 6' <br /> 7' ot` p�9c+1Il� <br /> -FIELD PEPS aLA-notA DATA "s+A e -T g' ��Qsc£Ncou <br /> 9 <br /> pARcIEL <br /> MAP"' Fop- Loc-.NTt or t Aly© ° SAMS-r4:1F- <br /> D>-A1 L5 �EGA'�DI"IyG 1-44E PFP-caLfCCSDi•l so«.(2E�Dv,%- <br /> ARb 7-;-=s7 }toLEb%wN sAQ <br /> MA�*jtq LcAM), <br /> 8Lrr m oRm. <br /> �QAKu1_gR . <br /> PARc.EL NO 1 PAIL RQ.Z- <br /> TdTAti- „ TEST HOLE #1P13 -- �� cx -r " TEST HOLE #1923 EPTl1 'SLS oC <br /> _ rr <br /> I ME READNGWATER DROP" REFILLED IM READ I G WATER RO R FILLED <br /> 15-0 <br /> L Ft LLE <br /> 0 <br /> o , �� 33 2 i MSN T-1 <br /> 2-7 3/41 314il zc) <br /> PERCOLATION RATE: PR.= 3 = `c PERCOLATION RATE: T-Zo �N�aa <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> 10j00e---> SCp.3Acid. PEE BPCXD. u A R£ F E 1 <br /> TEST PERFORMED BY: � TEST CERTIFIED BY: <br /> OBSERVED BY (SANITARIAN) (R.C.E. #) <br /> EH 13 11 <br />