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' ***� EMCON ASSOCIATES-Sacramento <br /> WATER SAMPLING AND ANALYSIS REQUEST FORM <br /> EMCON PROJECT NAME <br /> .S50CthTIs SCHEDULED DATE <br /> ESPECIAL INSTRUCTIONSICONSIDERATONS Authoriatioon <br /> Project No <br /> Task Code <br /> Send Results To <br /> Well Lock <br /> E <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 /> E -- <br /> E <br /> E <br /> E <br /> 1 <br /> ELaboratory QC Instructions: <br /> NOTE. IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> EAND WELL LOCATION MAP OR SKETCH WITH THIS REQUEST <br /> f:7E <br /> EMC WATER SAMPLING AND ANALYSIS REQUEST FORM �3 <br /> 61Q& Associates <br /> E <br /> E <br />