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Q � <br /> ADDRESS U G PA# <br /> APN n 0 5-56 0 -07 Su* _ <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# (feet) (minlinch) C <br /> OM NTS <br /> -5 1.2 <br /> 6. 6 <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ugfL EDB ug/L COMMENTS(other address for well sampled) <br /> 202o L , �- otj 5 3 <br /> QjW <br /> NITRATE LOADING <br /> RESULT(mg/L-N) 1 7 T. SR#: SR 00 3 S SR Date: I /6 /� I <br />