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E Cc ASSOCIATES•Seeramffft <br /> GROUND WAT. R MPLING AND ANALYSIS REQUEST FORA <br /> PROJECT NAME: Not Cal Beverage --- IZ(l X71 7 <br /> SCHEDULED DATE: May 31, 1991v3 LL <br /> +- <br /> SPECIAL INSTRUCTIONS/CONS1 TIONS: Project <br /> Authorization: Bob Ham___, <br /> Develop and sample 1 well. Projed No. : G03-09.01 <br /> Task Code: <br /> Please take a drum from the warehouse for purge water. Send Results To: ob H aI< <br /> Well Lock <br /> Numbe B <br /> :X3 CHECK BOX TO AUTHOMM DATA ENTRY Site Contact: nsa� Lao�9�3- <br /> Phone# <br /> Well Number Casing Casing Depth to <br /> or Source Diarneter Length Water ANALYSES REQUESTED <br /> fee Il <br /> MW-1 2.0 x-80.0 -70.0 TPHO <br /> TPHD <br /> EX <br /> 13'TEX <br /> Laboratory and Lob 0 Inatrjelona: <br /> w <br /> NOTE: IT IS VERY IMPORTANT To INCLUDE A COPY OF PROJECT PROPOSAL <br /> TlOjj MAP QR fiKEMH IM 1141S FtM&n <br /> Page 1 <br />