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PA# <br /> ADDRESS <br /> APN SU# del 2 <br /> PERC TEST PARCEL Perc DEPTH FERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS <br /> DATE SAMPLED TYPE OF WELL NITRATE mg1L DBCP ug1L EDB ug1L COMMENTS(other address for well sampled) <br /> R>SULI NG SR#: SR /� SR Date: + <br /> �.�� <br />