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DOMESTIC/MUNICIPAL PROGRAM <br /> WELL SAMPLING DATA SHEET <br /> Address: r i Date: <br /> Well ID: Purge Start Time; 157 1 <br /> Collected By: Purge End Time: 1 5 H <br /> Total Depth(feet): Sampling Time: 3 <br /> Screen Length(feet): ''" Purge Sample Rate: <br /> Casing Diameter(Inches): /( Total Purge Volume(E <br /> Conductivity Temperature <br /> Gallons Purged pH (us/cm) ("C) Other <br /> -22 <br /> Comments: 1 ` Cailttcl <br /> n <br /> C <br /> Field Certification: <br /> Signed f Date <br />