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• DOMESTIC/MUNICIPAL PROGRAM <br /> WELL SAMPLING DATA SHEET <br /> d' Q°(5 H <br /> Address: Date: X -7 <br /> yy �s9 <br /> Well ID: Purge Start Time: l 9 <br /> Collected By: O Purge End Time: C, 2s <br /> Total Depth(feet): Sampling Time: <br /> Screen Length(feet): Purge Sample Rate: _ <br /> Casing Diameter(inches): (p Total Purge Volume(g� e.G <br /> Conductivlty Temperature <br /> Gallons Purged pH (us/cm) (*Q Other <br /> ®Other <br /> • <br /> Comments: ++ <br /> i I(A <br /> �.}5 c�uv�P�I(.1 easy <br /> I OVvvn eft <br /> Field Certification: <br /> IJ— <br /> Signed Date <br /> Vl Vag <br /> Ck <br /> • <br /> y <br />