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ADDRESS //� ��!^c/��f G PA# <br /> APN <br /> PERC TEST PARCEL Pere DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS _ <br /> �u <br /> ff <br /> IMAM <br /> i <br /> mom <br /> DATE SAMPLED TYPE OF WELL NITRATE mglL DBCP uglL EDB uglL COMMENTS(other address for well sam led) <br /> NITRATE LOADINGR# SR Date: <br /> RESULT(mg/L-N) <br />