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ADDRESS —Z Y7-Z Z- fit/, lL 5� p _PA# <br /> A P N evs- ,3e0 -/-!r <br /> SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. <br /> Hole# (feet) (min/inch) COMMENTS <br /> DATE SAMPLED TYPE OP WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> e-If-20ip .r.a C 2•�3 m-- <br /> NITRATE LOADING <br /> RESULT(mg/L-N) SR#: SR �2 el <br /> SR Date: ,yPGt7 "SLS» <br />