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W it <br /> ADDRESS 5 �� Wt l(�n PA# -- (rb a 2701 <br /> APN - /�.� ' 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 <br /> RESULT(mg/L-N) t 1 L- SR#: SR 410 �+V 6 J SR Date: <br />