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ADDRESS oma n F // �/✓� /fit r/1 f PA# /Z-23<� 1 S.5Q <br /> APN LlD C SU# 6M 9',(2-3 <br /> PERC TEST PARCEL erc DEPTH PERC RATE <br /> DATE OR LpOT# Hole# (feet) (minlinch) COMMENTS <br /> Z- / f ( .ZO �LEIS <br /> Z/131 <br /> /�c 330 <br /> do plc 3 Z3 Z- c3%!- t <br /> le) pf o 2-W <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR &6/O`� SR Date: <br />