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ADDRESS <br />APN <br />PERC TEST <br />DATE <br />lz 5 7 0 it) Et 2 iey Al1 C1pAIe, PA # <br />011 — Ve 0- <br />PARCEL <br />Pero DEPTH PERC RATE <br />OR LOT* Hole* <br />112z/ !oil Cli - Zio-ril i 2v C <br />, ... ........, <br />1,0 9 8 <br />-., . <br />Pos 5 <br />, <br />. . <br />, <br />DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDE ug/L COMMENTS (other address for well sampled) <br />NITRATE LOADING <br />RESULT (rng/L - N) !S• „ SR#: SR 0 0 g S (0 52- SR Date: fit/ ('7,0 2( <br />