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PA# S ADDRESS 1l ' <br /> J'C <br /> APN `cl0i� a— H SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (minlinch) COMMENTS <br /> lnsq- <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP uglL EDB uglL COMMENTS(other address for well sampled) <br /> RESy (mgl NG SR #: SR �,` Q 3 6 SR Date: <br />