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ADDRESS d S �3 5 24 �N PA# <br /> APN 2��- I(O � (S SU# 7079 <br /> PERC TEST PARCEL Parc DEPTH PERC RATE <br /> ATE OR LOT# Hole n (feet) (min/inch) COMMENTS <br /> 6 /7 oB <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 {j y, (O SR Date: <br />