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ADDRESS I� �yO S �yUr'��-Q�� PA# --Jj— Q /0 p <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 ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) !- - l; SR#: SR SR Date: <br /> 90ems, <br />