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• <br />L' <br />Address: <br />Well ID: <br />Collected By: <br />Total Depth (feet): <br />Screen Length (feet): <br />Casing Diameter (inches): <br />DOMESTIC/MUNICIPAL PROGRAM <br />WELL SAMPLING DATA SHEET <br />3'14't) SI -J ^ n i ROCxd Date: <br />x <br />Purge Start Time: <br />AT � Itl�► Purge End Time: <br />Sampling Time: <br />Purge Sample Rate: <br />Total Purge Volume <br />Gallons Purged <br />pH <br />Conductivity <br />(us/cm) <br />Temperature <br />('C) <br />Other <br />�k2 <br />4c> <br />G • ekS l <br />2-6.4'5 <br />Comments: <br />%n -i ck—kcA <br />Field Certification: Cox a., (A <br />Signed Date <br />-vs. <br />