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�1 EMCON ASSOCIATES-Sacramento <br /> 00 WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> EMCON PROSECT NAME: <br /> ' ASSOCIATES SCHEDULED DATE: <br /> SPECIAL INSTRUCTIONSICONSIDERATONS: Project <br /> Authorization: <br /> ' Project No. <br /> Task Code: <br /> ' Send Results To: <br /> ' Well Lock <br /> ' CHECK BOX TO AUTHORIZE DATA ENTRY Site Contact: <br /> Name Phone# <br /> Well Number Casing Casing Depth to <br /> ' or Source Diameter Length Water ANALYSES REQUESTED <br /> Identification inches feet feet <br /> E <br /> I <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 /> IN <br /> EMCON FIGURE <br /> WATER SAMPLING AND ANALYSIS REQUEST FORM D�4 <br /> Associates <br />