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ADDRESS � c� /1/ T # <br /> APN O O /70 D SU# <br /> PERC TEST PARCEL Pere DEPTH PERC RATE <br /> DATE OR LOT# Hoke# (feet) (min/Inch)- COMMENTS <br /> �l <br /> s <br /> DATE SAMPLED TYPE OF WELL NITRATE mglL DBCP ug/L EDB uglL COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR SR Date: <br />