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ADDRESS • � , /.�5��" �i,� _ I. � T �;K / �7 <br /> APN 00,-'-0,3 <br /> 0 -4,3 O S/ . ._ SU# �9�9 <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (Feet) (minlinch) COMMENTS <br /> 3- / y- <br /> '- y- w <br /> -------------- <br /> 5 <br /> DATE SAMPLED TYPE OF WELL NITRATE mglL DBCP uglL EDB uglL COMMENTS(other address for well sampled) <br /> a y � <br /> l <br /> NITRATE LOADING ) <br /> RESULT(mg/L-N) /1/�.® SR#: SFS% _J ��,3� SR Date: <br />