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0 <br />u <br />I I <br />I I <br />0 <br />I I <br />0 <br />I I <br />u <br />GROUND WATER SAMPLING AND <br />ANALYSIS REQUEST <br />PROJECT NAME PROJECT N0. <br />DATE SUBMITTED PM/GEOLOGIST <br />imcon SPECIAL INSTRUCTIONS / CONSIDERATIONS (well access, time from®) <br />•SSOC+•TtS <br />WELL LOCK <br />NUMBER <br />❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br />WELL NO. CASING CASING DEPTH ANALYSES REQUESTED . <br />OR SOURCE DIAMETER LENGTH TO WATER <br />NOTE IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br />AND A WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br />Plate B-3 <br />