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• <br />Address: <br />Well ID: <br />Collected By: <br />Total Depth (feet): <br />Screen Length (feet): <br />Casing Diameter (inches): <br />• <br />0 <br />DOMESTIC/MUNICIPAL PROGRAM <br />WELL SAMPLING DATA SHEET <br />-, . T En,r.. <br />Purge Start Time: <br />/� T Kms► Purge End Time: <br />Sampling Time: <br />Purge Sample Rate: <br />Total Purge Volume <br />►201 <br />i211 <br />1215 <br />Gallons Purged <br />pH <br />Conductivity <br />(us/cm) <br />Temperature <br />(°C) <br />Other <br />Comments: <br />2W <br />()02 <br />Field Certification: _ <br />Signed Dat <br />