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ADDRESS <br />APN <br />Ct u.reitj Eov.4 fl 4-UL 5, <br />- <br />3 iv) Mr, / /0,40':4--"`q`/J-fic PA # <br /> u# <br />PERC TEST <br />DATE <br />PARCEL Perc DEPTH <br />OR LOT # <br />• <br />NITRATE LOADING <br />RESULT (mg/L - N) SR #: SR Vr. SR Date: LA k I LI— <br />DATE SAMPLED TYPE OF WELL NITRA <br />`) 1 1191 7.1_ k 94 i c'Th1.ti9 L <br />‘Ull ler auuress ror wed sampled) <br />_ <br />, ...... ".,,n, <br />'I 3 <br />,UWINICNIO • <br />fr)tr ' ' • t — <br />_ <br />PERC RATE <br />iminfinnhl