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DOMESTIC/MUNICIPAL PROGRAM <br /> WELL SAMPLING DATA SHEET <br /> ► o <br /> Address: ��l� � . ftiOdS` Date: 120/1 <br /> Well ID: Purge Start Time: k <br /> Collected By: Dci,A_j Purge End Time: . <br /> Total Depth(feet): OA= Sampling Time: <br /> Screen Length(feet): APk ®Purge Sample Rate: <br /> Casing Diameter(inches) �® Total Purge Volume(E <br /> Conductivity Temperature <br /> Gallons Purged pH (us/cm) (10 Other <br /> — <br /> Lo `90 Ji, c- (4. -7 <br /> ------ <br /> Comments: ` g,_ We-,+ <br /> �.s`@0' IOIG�fG'� ��N` U`'fy�— cO'n V`®/u®')1Q I e <br /> 16C aV . <br /> Field Certification: <br /> Signed Date <br />