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w <br /> ADDRESS 2300 X0 PA# U - 00 Z <br /> APN -p SU# Ong <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS <br /> DATE SAMPLED TYPE OF WELL NITRATE mg1L DBCP uglL EDB uglL COMMENTS(other address for well sampled) <br /> - I <br /> I <br /> NIT LO G / q/ <br /> RESULT g -N) SR#: SR f�(' L/5 SSR Date: Z �(� <br />