HomeMy WebLinkAboutSHIRLEY LT 2D
flEALTh CASE
327 EAGLE 9TREET
ANCAORAQ, ALASKA 90001
Perrormed For 1 r `- ;'� _ ' .. f, _Bate Perfor,;,e:'.
Legal Descriptioni_✓y I.•Blocri.^.....
This Form Reports a,. sods Lope»;q'���_��'ercoiac
f�V
f cY YiO� Ir�C_'1�in
r� �D V
Was Ground rater Encountered?
if Yes, At What Depth -------
Locarion Sketch
33 e
Reading Date Gross Time ... Net
Time DepthTo filo Ne -c Drop f
Ir6W 10n I%a.Cem..yiP/ _ 4. .r.. m..
FropoSed Xnsial.iailon f-luepage ��� „ Drain . AId
Depth Of inlet
COMMENTS
r SoC
1
.�.. �...».. ...vim-... ......, ... -+- _.......... ......._.,-.. __...e.-., .. ...._.,...._-, - - ._.„... ..-..._.».......�......:.....,..,.,�........,......_,...o..>.,...<..,�..4.��..,,�..
'lest Performed 1 1• — fl !- -
f
o,. r)
Data Certified By.
Date
n�
et",
Dept",
Fen
Soil Characteristics,
E
`
Ate. o n, �t
10—I`7CJ
.�
f�V
f cY YiO� Ir�C_'1�in
r� �D V
Was Ground rater Encountered?
if Yes, At What Depth -------
Locarion Sketch
33 e
Reading Date Gross Time ... Net
Time DepthTo filo Ne -c Drop f
Ir6W 10n I%a.Cem..yiP/ _ 4. .r.. m..
FropoSed Xnsial.iailon f-luepage ��� „ Drain . AId
Depth Of inlet
COMMENTS
r SoC
1
.�.. �...».. ...vim-... ......, ... -+- _.......... ......._.,-.. __...e.-., .. ...._.,...._-, - - ._.„... ..-..._.».......�......:.....,..,.,�........,......_,...o..>.,...<..,�..4.��..,,�..
'lest Performed 1 1• — fl !- -
f
o,. r)
Data Certified By.
Date
n�