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ADDRESS / ��� ,S, ,�� _PA# <br /> APN —Z-17 SU# SA (10 I ZZ' I <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# (feet) (minlinch) COMMENTS <br /> 1 " -L4 <br /> iF <br /> Sc <br /> Z. <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) , SR#: SR C�U S� SR Date: O <br />