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ADDRESS —1 62>�1��� �PA# <br /> APN DOS 370 2-] SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB uglL COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR 0 CE:b�D 7 SR Date: <br />