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ADDRESS V PA# <br /> APN ��S�l — SU# - <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# (feet) (min/inch) COMMENTS <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L D46 ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRAT <br /> RESULT E(mg/LOIN ) I ,L-, SR#: SR( '�� l v SR Date: /I�. <br />