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ADDRESS PA# <br /> APN e�)?0- SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT 1' Hole# (feet) (minlinch) COMMENTS <br /> 3.3 <br /> Zvi 5' 26 i3 � f <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> i c /v /Z •3 Alb <br /> NITRATE LOADING <br /> RESULT(mg/L-N) �• /9 SR#: SR /�.,;��/�_SR Date: //�3��h' <br />