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ADDRESS <br />APN <br />PERC TEST <br />DATE <br />17 P/-°\ bouvr <br />-zst) stir) /b <br />PARCEL Perc DEPTH <br />OR LOT #. Hole # <br />M PA # <br />SU# <br />loo p° 31- <br /> <br />.6 0400 <br /> <br />PERC RATE <br />VI S)('A...1s, 15)1,'L\o \• i-A., <br />. , <br />loko.‘n <br />, <br />VD .1 <br />__ ..... ....._ <br />(,- t( \.ke'L <br />'(1 1 \ <br />W1-:‘,\ 1,-A ,T <br />(;\ \.-L c\ <br />f.c'evic.s —t-o‘3 9)' ,@ v•smclicvc-vo \,-'1A ' " <br />E. <br />DATE SAMPLED TYPE OF WELL NITRATE m /L DEC <br />It, Tan) z.L. v\. 1.o1 0 DS.5 — M W-5 oi --ichgL-CL5L4bV <br />In:C.JOlifINAti LA) ifilti <br />L (Zdt <br />s I , II <br />NITRATE LOADING <br />RESULT (mg/L - N) <br />TMj <br />SR #: SR V\f \i'Vb • SR Date: \ <br />