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ADDRESS O W�(,� �( PA# ' 5qf <br /> APNj�j—3�Q —(�� SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> zL 2,5 E5,3 <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> S ' <br /> NITRATE LOADING <br /> RESULT(mg/L-N) I W SR#: SR gG ly SR Date: - ' <br />