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r ItLD RECORD Of WATI R tAKnX <br /> WLL OR SAMPLE PO./IO 1n&J 2- ]OR Irmo: /S Irf y <br /> VEM Of WELL 5"1.0 CLIENT: <br /> Y' DIAmus, CAtiNG LOCATION: J�+c �•- <br /> WELL ELEVATION: SAMPLED By: <br /> f91FORATED INTERVAL TO ' <br /> MQTIOD Of EVACUATION <br /> - PATER LEVEL I CALLONS REMOVED DURING EVACU- 1 . <br /> DATE TINE BEFORE EVACUATION ATION OR PRIOR TO SAMPLING <br /> I - I <br /> _ I <br /> 1 <br /> I � I <br /> I I I <br /> METHOD OF SAMPLING <br /> DATE OF SAMPLE /-3/ TIME /Z / <br /> DEM OF SAMPLE DOMESTIC WELL TAKK YES NO <br /> CONTA I VE A TT?E S ANA LY S I S <br /> Sav r+1 L 641 TEMP. <br /> COI•DUCTIVITY <br /> COMM XTS: �.Os , !S i ev Z jrst <br />