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ECC N A9SOCIATIB•9iaoranlee►to <br /> GROUND WAT, 1 MPLING AND ANALYSIS R EOUEST FORM <br /> PRO..cCT NAME : Kir Cal Bvvaage �'�-tZf #-,e.>717 <br /> SCHEDULED DATE: May 31, 1991 V)Lk <br /> SPECIAL INSTRUCTIONS/CONSIDERATIONS: Project <br /> «� Authorization: Bob Husk <br /> Develop and sample I well. Project No. : G0541.01 <br /> T Task Code: <br /> w� <br /> Please take a drum from the warehouse for purge water. Send Results To: Bob Husk <br /> r <br /> f� <br /> Well Lock <br /> Number(s) <br /> k X CHECK BOX TO ALITHORIIZE DATA ENTRY Site Contact:tuic 1 MUn50n la_oq)g83-6W <br /> Name Phone# <br /> Well Plumber Casing Casing Depth to <br /> or Source Diameter Length Water ANALYSES REQUESTED <br /> fincheel feet feel <br /> MW-1 2.0 -130.0 -70.0 TPHO <br /> TPHD <br /> BTEX <br /> Ubonioq and Lob lniMons: <br /> - <br /> NOTE: IT 18 VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> • Pap®1 <br />