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ADDRESS c filIii (9f 6)L -191,1 �ar, PA# <br /> AP N 1, - <br /> _SU# <br /> PERC TESTPARCEL Perc DEPTH PERC RATE <br /> DATE OR LOT#. Hole# m <br /> feet ( ) <br /> ( ) in/inch COMMENTS <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 ' )��, SR Date: <br />