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ADDRESS ]</L 3ny �d, S,�r�°w /l� <br /> PA# <br /> APN <br /> PERC TEST SU# <br /> PARCEL Perc <br /> DATE DEPTH PERC RATE <br /> OR LOT r. Hole# (feet) (min/inch) COMMENTS <br /> Y Pj <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) SR#: SR 0,1) 4'(-PJ/ <br /> SR Date: • r� �''`��'� <br />