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ADDRESS 4'3ad /t/. ,yrs S-A PA# <br /> APN 36_ S/2 SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> 3-�z-zaiv 937-130 -qZ- ) 3-3V dz S- <br /> 3-1Z-,?ef 7-6 <br /> --rz-aefza 8?-�;�. y L /S/b( ° 2,?- 27 <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) �7'� SR#: SR &V SR Date: 3"�3"2dzO► <br />