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ADDRESS �c <br /> { G' 17� �fi <br /> _ PA# l � t <br /> APN �� S j OO _ 09 -2, 5 SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT TM_ Hole# feet <br /> ( ) (minfinch) COMMENTS <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING / L / (� <br /> RESULT(mg/L-N) SR#: SR—M) `T / 16 X <br /> �� � � SR bate: / � � U <br />