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ADDRESS �yS 3 rI7 JFyJ PA# I 3 - pmt- s <br /> APN065�/(� DJj DO T� SU# 7374L <br /> PERC TEST PARCEL Parc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS(PASSIFAIL) <br /> 5 /S Z Z y/z <br /> � z s <br /> i L %fes '" <br /> Ir / ZY22 <br /> O3 L y <br /> y / 3 2- 1 1 <br /> 7 z Y 2-1p, 1 .i <br /> DATE SAMPLED TYPE OF WELL NI g/L DSCP uglL EDB uglL COMMENTS(other address for well sampled) <br /> NITRATE LOADINGSR Date: / <br /> RESULT(mg/L-N) SR#: SR <br />