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ADDRESS I / 96 9 '»I • PA# UD 135 <br /> APN <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASSIFAIL) <br /> 3iA� 3 rz. d5 <br /> DATE SAMPLED TYPE OF WELL NITRATE mg1L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING ? <br /> RESULT(mg/L-N) 7 .L4-P, SR#: SR /6ypp j1/ SR Date: S Z— <br />