Laserfiche WebLink
OWNER A, DRESS OR LOCATION ,z <br /> P.M. or S. NUM ISER: DATE : '7- '7-R <br /> DEPTH TO FIRST WATERSIZE Of NSOIL PROFILE( IF REOUIRED) <br /> SOIL TYPE: <br /> 2 ' I <br /> REMARKS: � 1 f��` Z2 0; o h,u*- Ur�c.r�� 3. <br /> �F2� No Z Z <br /> 4 ' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 71 <br /> 8' <br /> h <br /> tj rNVIR0Vt,1-1AL HEALTH <br /> �ERN111/SERVICES <br /> � I <br /> TEST HOLE _ TEST HOLE 42 <br /> TIME READING WATER R " REFILLED TIM READING WATER DROPilILLti <br /> i7 tr <br /> 3 �. <br /> 4 <br /> s <br />■RCOLAT I ON RATE• No OF2C- PERCOLATION RATE-. <br /> --OMMENDEO SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br />'ST PERFORMED BY: 5co i T "ll-aZf, TEST CERTIFIED BY: �CYA.; <br />-SERVED BY (SANITARIAN) iu _ (R.C.E. or R.S. 4) <br />