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Address: <br />Well ID, <br />Collected By: <br />Total Depth (feet): <br />Screen Length (feet): <br />Casing Diameter (inches): <br />rml <br />DOMESTIC/MUNICIPAL PROGRAM <br />WELL SAMPLING DATA SHEET <br />0,?71t) kv4 O*Date: <br />Purge Start Time: <br />Purge End Time: <br />Sampling Time: <br />Purge Sample Rate: <br />Total Purge Volume I <br />i t> itt f i t4k <br />N <br />Certification: <br />E <br />M-0 I <br />