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ADDRESS N, <br /> PA# <br /> APN _ 1O3-2-cv- O D SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#, Hole# <br /> (feet) (minlinch)ilCOMMENTS 103 tZV-,* <br /> b s <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L D9CP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> N- <br /> ;-S- <br /> NITRATE <br /> SNITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR <br /> SR Date: <br />