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ADDRESS 1( 31 0/Fbk Lout PA# <br /> APN 2-01-370-1 Y SU# <br /> PERC TEST PARCEL Pere DEPTH PERC RATE <br /> DATE OR LOT#. Hole# (feet) (minfinch) COMMENTS <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP uglL EDB uglL COMMENTS (other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mglL-N) 3 SR#: SR b0 Z�� SR Date: <br />