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ADDRESS ores-av PA# _/'roaoy7 <br /> APN /- /9.0- q <br /> '3 SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# (feet) (min/inch) COMMENTS <br /> qJJ IG <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP uglL EDB ug/L COMMENTS(other address for well sampled) <br /> ,�6 ,•� �.-f�., rte... , <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR ,�O ? 1 SR Date: <br />