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SFP 1613(0 04-ti-ev) p---a PA # <br />1PLtf-f---(5-7° to& 7t1C- 36P -1-rc su# <br />ADDRESS <br />APN <br />PERC TEST <br />PARCEL <br /> <br />Perc DEPTH PERC RATE <br />DATE <br /> <br />OR LOT # <br /> <br />Hole # <br /> (feet) (min/inch) COMMENTS (PASS/FAIL) <br />DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS (other address for well sampled) <br />-• <br />NITRATE LOADING 2,0 4_11--ki LQO 5-0 (vc