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DOMESTIC/MUNICIPAL PROGRAM <br /> WELL SAMPLING DATA SHEET <br /> Address: !1a� � ~ P'Date: <br /> Well ID: Purge Start Time: �/L <br /> Collected By: _ t 0 Purge End Time: t S <br /> Total Depth(feet): Sampling Time: !95 •Z <br /> Screen Length(feet): �— Purge Sample Rate: <br /> Casing Diameter(Inches): Total Purge Volume(E 70 <br /> Conductivity Temperature <br /> Gallons Purged pH (us/cm) (Y) Other <br /> C1 ccsf to d <br /> Comments: ( . ,Q<< tccd7 iVQcsA-- vesk- ,&,o 1 i�v IvOse <br /> Tau �1e sed w� 1e WL-11 <br /> (3, Cocci <br /> 5 <br /> Field Certification: <br /> 51 d Date <br /> • <br />