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pR <br /> ADDRESS SU# <br /> APN �a0$ D <br /> EL Pere DEPTH PERC RATE <br /> PARC <br /> PERC TEST Hole# (feet) (minlinch) COMMENTS(PASSIFAIL) <br /> DATE OR LOT# <br /> b Y 6i <br /> DATE SAMPLED TYPE OF WELL NITRATE mg1L DBCP ug/L EDB ug11- COMMENTS(other address for well sampled) <br /> NITRATE LOADING SR#: SR (7 3 7`Z SR Date: <br /> RESULT(mg/L-N) <br />