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OWNER AbiS m&7-�C, sus rr vs. ADDRESS OR LOCATION <br /> P.M. or S. NU11BER: DATE : y-'7-fig <br /> QEPTH TO FIRST WATERSIZE OF HOLE: SOIL PROFILE( IF REOUIRED) <br /> SOIL TYPE: � <br /> 2 ' <br /> REMARKS: 3 //e w� _ <br /> 5r7c,e-u10 3' <br /> 41 <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) <br /> 6' <br /> 7' . <br /> 8' <br /> U <br /> Ala Jai <br /> Y <br /> \ ^ 1� <br /> I ENVIRL E!JAL HEALTH <br /> l 1 ERIAIT/SERVICES <br /> P <br /> TEST HOLE #T" P1 TEST HOLE #2 <br /> TIME READPNG WAILRDROP" REFILLED TIM READING WATER DROP41ILL�i <br /> L I <br /> 7 f- <br /> RCOL.ATION RATE: PERCOLATION RATE: <br />.COMMENDED SEWAGE DISPOSAL AR A: RECOMMENDED SEWAGE DISPOSAL AREA: <br />,ST PERFORMED BY: TEST CERTIFIED BYs gbly /min}&etj �5 <br /> SERVED BY (SANITARIAN)�-/ (R. C.E. or R.S. 2� 7-S5 ' <br />