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ADDRESS 2—L! 6 u-, — PA# <br /> APN 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 ug1b., EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING /�� Q' C <br /> RESULT(mg/L-N) SR#: SR (�� KV Z`� SR Date: <br />