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C7 <br />Address: S Q[ ate: <br />Well ID: _ _ Purge Start Time: <br />Collected By: _ , Purge End Time: <br />Total Depth (feet): Sampling Time: <br />Screen Length (feet): <br />Casing Diameter (inches): <br />11 <br />33 <br />V <br />q<4S <br />Purge Sample Rate: /r Q & r -N <br />Total Purge Volume (E <br />Gallons Purged pH <br />Conductivity Temperature <br />(us/cm) ('C) <br />Other <br />C/PA{ <br />Comments: I p , e l C 10c l" 1'� ro a, +^ ^C.e e -Q SA— 51'00 <br />W Ut,ta <br />Field Certification: l —7 <br />Signed Date <br />t <br />ra <br />