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ADDRESS ��-� � PA# <br /> APN -1 7 SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT* Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> cti �`t <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING �� <br /> RESULT(mg/L-N) U� SR#: SR �� � SR Date: L " <br />