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ADDRESS <br /> PA# `Z 3 S� <br /> 1 APN 1 2;,7- t. O - Ob SU# 7y2-7- <br /> rr PERC TEST PARCEL Pere DEPTH PERC RATE <br /> d DATE OR LOT# Hole# (feet) (m€nlinch) COMMENTS <br /> ti, Ir y S l /�Y 2 -1 <br /> Z `l Z �r 3 5 <br /> 2- <br /> DATE SAMPLED TYPE OF WELL NITRATE mgtL DB P ug1L EDB ug1L COMMENTS(other address for well sampled) <br /> l <br /> NITRATE LO G <br /> RESULT g/L-N) SR#: SR 6[.Y� 5 Y y —SR Date: �� 3 $ <br />