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ADDRESS � � N��D /�'14NtP�lt PA# <br /> APN 11 C1 — 1?1 SU# DDo -6 0 EKED <br /> PERC TEST PARCEL Perc r DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> �u 3/ fl6 / / 6 ,u vee <br /> /o OG / 6Z /• � �a� ��c <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> i 13 z b >�M� a AID <br /> NITRATE LOADING <br /> RESULT(mg/L-N) I , e71 SR #: SR / ;,- it SR Date: <br /> ADDRESS PA# <br /> APN SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASSIFAIL) <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 SR Date: <br />