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®®MEIInC614fIUNICIPAL PROGRAM <br /> WE1LL SAMPLING ®�a- FREE <br /> �] ] 1p _Date: <br /> Addraiv. E Purge Start Time: 4f� ; <br /> WellID: � � 1f� re End Time: <br /> 311sstsd Syl ' sampling)Tma: <br /> Tidal 000(feat): Purge SamP18 Pates�ggm 68ngth(feet): total Purge Volume _ <br /> Casing Diameter(16683)- <br /> n u mPe, urs other <br /> ga()nnsPu d :PH (ushm teC <br /> t�tnan , <br /> Reld CwtMcation: Date <br /> Signed <br /> V <br />