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EMCON ASSOCIATES-Sacramento <br /> WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> EMCON PROJECT NAME: <br /> uoeutf� <br /> SCHEDULED DATE. <br /> SPECIAL INSTRUCTIONSICONSIDERATONS: Ate <br /> rmauon- <br /> Pn4enn No_ : <br /> Task Code: <br /> Send Results To: <br /> W44 Lodz <br /> CHECK BOX TO AUTHORIZE DATA ENTRY SIG Contact: <br /> Wei Number Casing Casing Depth to Name pie <br /> or Source Diameter length Water ANALYSES REQUESTED <br /> Iftnefcation inches rase rear <br /> Laboratory QC Instructions: <br /> NOTE: IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> AND WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br /> EMCONF. IWAssociates R SAMPLING AND ANALYSIS REQUEST FORM Aw];3 <br />