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ADDRESS FS6 I ) PA# I � IO <br /> APN <br /> 1C9S � � � g Su# 1 Z� <br /> - <br /> PERC TEST PARCEL Pero DEPTH PERC RATE( ilinch) COMMENTS <br /> DATE OR LOT#. Hole (feet) mn � �Sse <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L D CP IL EDB IL COMMENTS(other address for/w,elllll sampled) 6IG•.JI� <br /> b o�u l tA) 44 <br /> NITRATE LOADING V SR Date: <br /> RESULT(mg/L-N) SR#: SR <br />