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O <br /> GROUND W/-"\TER SAMPLING AND <br /> ANALYSIS REQUEST <br /> PROJECT MGR <br /> AUTHORIZATION �( <br /> PROJECT NAME k-'00� k`P <br /> PROJECT 1-40. 2S �V• t�1 <br /> I GATE SUBMITTED <br /> P M/GEOLOGIST u• Did-C <br /> moon SPECIAL INSTRUCTIONS / CONSIOERATICuS (,,ml access* t�rr� troln. <br /> � C u' rN,n.r ✓ & e �ls�✓Trp1 rrY AI f'r1Rr <br /> �rA&T wo. <br /> WELLLOCK <br /> NUMBER <br /> 1 <br /> ❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br /> WELL NO. CASING CASM DEPTH <br /> OR SOURCE 01AMETER LENGTH TO WATER ANALYSES RECUESTED <br /> NP,(/&�rr Iv A N i I r Pl�� aT�x <br /> I I <br /> I I r ,N, <br /> I I I <br /> I I I <br /> � I <br /> . I <br /> I � <br /> I � <br /> I I <br /> NOTE 3T IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> AND A WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br />