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ADDRESS <br /> c In e— /a PA;# <br /> APN <br /> PERC TEST S u* <br /> PARCEL Pero DEPTH <br /> DATE OR LOTPERC RATE <br /> Ho)e# (feet) (minlinch) COMMENTS <br /> rj <br /> i <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP u /L <br /> 9 EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR 5R <br /> ` �nl <br /> _, #: SR Date: /! Z-6 <br />