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ADDRESS <br />PA # <br />SU# <br />APN <br />go(s-CO L4,,4 <br />\otg- k; L-10 <br />PERC TEST <br />DATE <br />itfrtt,“ <br />311-1 It 3 <br />did*, 9-- -43-Eva' eirifit -ft* <br />L1,21. (s-s <br />-7-'5— 3 /011.2.. <br />PARCEL Perc DEPTH PERC RATE OR LOT # Hole # (feet) (min/inch) COMMENTS <br />1 1;it, 9c, <br />- fL0 e,qz, <br />DATE SAMPLED TYPE OF WELL NITRATE mg/L [MCP ug/L <br />EDE ug/L COMMENTS (other address for well sampled) <br />NITRATE LOADING <br />RESULT (mg/L - N) <br /> SR #: SR 01) (6 5 SR Date: