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Ilea l and Environmental Prote~
Pourth Floor Wesk
825 L Street
Anchorage, A]aska 995011
279-25]] , X 224, 225
TII,I! DRAIN FIF. I.D:"~g~v-C~
DISTANCE FROM W~ l.I.
SE['EPAGF. PI F:
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Class :_~ Depth:
Well Distance To: Loh Line
Bldg: Seweu Li}~e:
~ of Bedrooms: .... ~_
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
2
3
.~.~ 4
5
6
7
8
9
L-~iO
11
12
13
14
15---
16-
17-
18-
19-
20-
SLOPE SITE PLAN
WAS
GROUND
WATER
ENCOUNTERED,
D E pY.~HS?AT WHAT
Readin§ Date Time Time Water Drop
(minutes/inch)
COMMENTS
PERCOLATION RATE
TEST RUN 13ETWEEN FY AND FT
,~ '~"~C , CERTIFIED8 DATE:
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