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ADDRESS %t l% G • f27/cam PA# <br /> SU# <br /> PERC TEST PARCEL DEPTH P rERC inch) COMMENTS <br /> TE <br /> DATE OR LOT# (feet) ii <br /> lie <br /> �Y <br /> /.z •Zj • tJ <br /> Y <br /> 76 <br /> DATE SAMPLED TYPE OF W ELL EDB ug/L NITRATE mg/L COMMENTS(other address for well sampled) <br />