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ADDRESS I� � ( S � � <br /> APN " �3�� — JS SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> - - I - ---- p <br /> 41 <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 <br /> RESULT(mg/L-N) r SR#: SR (,��6 �J� SR Date: <br />