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r� <br />Address: <br />Well ID: <br />Collected By: <br />Total Depth (feet): <br />Screen Length (feet): <br />Casing Diameter (inches): <br />1 • i <br />Purge Start Time: <br />Purge End Time: <br />( Sampling Time: <br />IJA17� <br />gg <br />—r - <br />Purge Sample Rate: <br />L4 t4 <br />Total Purge Volume (E "� -"i <br />Conductivity Temperature <br />Gallons Purged pH (us/cm) (°C) Other <br />omments: <br />Field Certification: <br />n 11 d <br />@ G ® VD 6l & <br />u <br />