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ADDRESS I O�4 . HAM "W E - PA# <br /> APN 5 --�� �'L Su# <br /> PERC TEST PARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT# Hole# (feet) (min/inch) COMMENTS(PASS/FAIL) <br /> DATE SAMPLED TYPE OF WELL NITRATE mg/L DBCP ug/L EDB ug/L COMMENTS(other address for well sampled) <br /> NITRATE LOADING ��r <br /> RESULT(mg/L-N) } SR#: SR SR Date: <br /> r� <br /> ram^ <br />