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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 />DOMESTIC/MUNICIPAL PROGRAM <br />WELL SAMPLING DATA SHEET <br />Purge Start Time: <br />AT 1,4A Purge End Time: <br />Sampling Time: <br />Purge Sample Rate: <br />Total Purge Volume <br />Gallons Purged <br />pH <br />Conductivity <br />(us/cm) <br />Temperature <br />('C) <br />Other <br />) � <br />x.'33 <br />o."In $ <br />Z4 .1-7 <br />Comments: <br />Field Certification: <br />Signed Date <br />0 <br />