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ADDRESS �a� PA# 001',3 <br /> APN 2 1 1- 17'0 0.;1, SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hale# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> 7 2 1z O . .law �vtoL <br /> NITRATE LOADING <br /> RESULT(mg/1--N) SR#: SR % U Z_. SR Date: f L <br />