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�_l <br />DOMESTIC/MUNICIPAL PROGRAM <br />WELL SAMPLING DATA SHEET <br />Address: 65155!�' & Date: <br />Well ID: Purge Start rime: <br />Collected l y "b(gj§ rime: <br />Purge End <br />al C) <br />Total Depth (feet)- —Sampling Time: <br />Screen Length (feet): Purge Sample Rate: 7.0 <br />Casing Diameter (inches):► —Total Purge Volume (E 701 <br />