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ADDRESS /£�Z� E_ � ✓'�ZLJPL7L�S Ls4QI?V PA# /3_ �P errs) <br /> APN /�3- 71d D/ lr cL <br /> SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS <br /> 3 / - 32- 2-s lz c �- <br /> !� <br /> A� Zea— <br /> / - 3. - - <br /> c <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING " <br /> RESULT(mg/L-N) /v/�- SR#: SR �: (o�� SR Date: (o — 12 — /� <br />