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ADDRESS /o/ C/ ,S� ✓,F'Sf �C� PA# <br /> APN /j.3 c.7 6- SU# <br /> PERC TEST PARCEL Perc DEPTH <br /> DATE OR LOT�. PERC RATE <br /> Hole# (feet) (mintinch) COMMENTS <br /> 3C 1 <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB uglL COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) <br /> 5 �. . SR#: SR j:9e,) '�yyz SR Date: [2-(e e <br />