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ADDRESS i I LI (p-7 L,� c-4-s PA# &700044( (S)4 <br /> APN 007- ter) -O2- SU# VCOGYti ( / <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS <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/1--N) SR#: SR SR Date: <br />