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2 NN_ rlp �;VO; <br /> ADDRESS 1 I J l� Ul t fn PA# �— <br /> APN 2Mt - -7--7 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 ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING �n <br /> RESULT(mg/L-N) � L I- SR#: SR (7��/ SR Date: U / / <br />