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a <br /> ADDRESS f 70CX� f1 )I Z7 i J3LZ(2IV PA# _ZI OP1o0 `, <br /> APN Z Li c) 0 SU# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE ` <br /> DATE OR LOT#, Hole# (feet) (min/inch) COMMENTS <br /> fA 6,,PiT�txy <br /> zSet FRGS <br /> o <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) 2 .1 SR#: SR 2. G SR Date: q 1 L t I Z DTi( <br />