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GROUND WATER SAMPLING AND <br /> ANALYSIS REQUEST . <br /> PROJECT MGR <br /> AUTHORIZATION <br /> __ PROJECT NAME 12ki2d 1 y PROJECT NO -1)1;-2 U.7of <br /> I� <br /> PATI= SUBMITTED PM/GEOLOGIST � <br /> Emcon SPECIAL INSTRUCTIONS / CONSIDERATIONS (well access, time frame ► <br /> b <br /> WELL LOCK <br /> NUMBER <br /> C <br /> ❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br /> WELL NO CASING G4SING DEPTH <br /> OR SOURCE DIAMETER LENGTH TO WATER ANALYSES REQUESTED <br /> al e ,r <br /> t <br /> 1 <br /> NOTE IT IS VERY IMPORTANT TO INCLUDE A COPY OF PROJECT PROPOSAL <br /> AND A WELL LOCATION MAP OR SKETCH WITH THIS REQUEST <br />