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ADDRESS i-/Z/ • b--• ce PA # <br /> <br />APN <br />PERC TEST <br />DATE <br /> <br />u# <br /> <br />PARCEL <br />OR LOT #. <br />Perc <br />Hole # <br />DEPTH PERC RATE <br /> <br />( 1 3.4 5. 0. <br />, ....... --../ <br />,.-13 t <br />-•,-,ivi.ni I 0 <br />“-Ser „I../ 63 f:e. 93 <br />DATE SAMPLED TYPE OF WELL NITRATE mcilL <br />_ <br />--------------.ivi,1110 kUllitli auaress ror wen sampled) <br />Afe)s^ea of,e S '/'`e. <br />r <br />_.. <br />r- — — ..... go 1,... ..adt <br />z; - (ci 'ir", N r. ) , 2_ .\2 . <br />.., ..• ,... 4 e. .. ' ,vje_j . <br />042161/ <br />6;ic • <br />NITRATE LOADING . <br />RESULT (mg/L - N) q't SR #: SR &ep g-tiril SR Date: 7-3 -- /9 <br />