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ADDRESS <br /> PA# <br /> APN <br /> SUY <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# feet <br /> ( ) (min/inch) COMMENTS <br /> ep <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> Re /71 <br /> 41,e <br /> NITRATE LOADING <br /> RESULT(mg/L-N) !�' SR#: SR -)© �'Z 57,;D <br /> SR Date: k)-j-267-0 <br />