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l'ERCOLATTON TEST LOG /1/0(„/ Tlme:
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Map/Lot No. 106,/9./ Address: Ai'i. - +( . CO 4 -•-• A.4---
Engineer: E . . A/ .
e . �. -.„ Health Aged P2// 0 ''
Expansion Area:Yes:; No: w . _ Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:
If No,Why? Unsuitable: Why?
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Well: Town Water Subdivision/Ow/nes Name:
SKETCH: 4
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