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� I <br /> ADDRESS t.,..r ' ;6 IVje ,Ap PA# tlq"oj <br /> PERC TEST PARCEL DEPTH PERC RATE. r <br /> DATE OR LOT# (feet) (mintinch) COMMENTS l <br /> DATE SAMPLED TYPE OF WELL EDB ug1L NITRATE mg/L COMMENTS(other address for well sampled) <br /> i <br />