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ADDRESS �f��7_(� ! PA# ETERE-/�Sl/hiSj <br /> 4PN ` f�� -/ -4/ SU# � J� � <br /> PERC TEST PARCEL DEPTH PERC RATE / 1 O- <br /> j DATE OR LOT# (feet) (mintinch) COMMENTS <br /> 1 <br /> DATE SAMPLED TYPE OF WELL EDB uglL NITRATE mg/L COMMENTS(other address for well sampled) <br /> i <br />