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ADDRESS ; '; E PA# Q <br /> APN SU# L <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS(PASSIFAIL) <br /> 2 - { <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP uglL EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOAPINIG <br /> RESULT(mgfL-N) SR#: SR ;w �' ' SR Date: / ! - <br />