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3 <br /> al <br /> GROUND WATER SAMPLING AND <br /> ANALYSIS REQUEST <br /> PROJECT MGR <br /> AUTHORIZATION K OVAE <br /> PROJECT NAME IZt0"WV "',4 NT61Lyl <br /> PROJECT NO. ado-(00, 01 <br /> DATE SU$MITTEO 1 Z3 9S_ <br /> PM/GEOLOGIST �I• QUK� <br /> Fmcon SPECIAL INSTRUCTIONS /.CONSIDERATICUS (well access, time frame <br /> sroC���r2 <br /> .�-A� AJ Pilar qF 5„9 ✓ Yl7�i <br /> 1'TA/t-T�✓P• <br /> WELL LOCK <br /> -NUMBER <br /> ❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br /> WELL NO. CASING CASIM OEM <br /> OR SOURCE DIAMETER �LEHGTN TO WAIT. ANALYSES REQUESTED <br /> NFLV& I N A I N 14 N i !PING aT�' <br /> I <br /> I I \ <br /> i Z g <br /> I I <br /> r ,N, <br /> M I I <br /> I I <br /> I I <br /> I I <br /> I <br /> I <br /> I I <br /> � I I <br /> I <br /> I <br /> NOTE IT IS VERY IMPORTANT TO INCLUDE A CCPY OF PROJECT PROPOSAL <br /> AND A WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br />