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a _ GROUND WATER SAMPLING AND <br /> ANALYSIS REQUEST <br /> PROJECT NAME PROJECT NO. <br /> DATE SUBMITTED PM/GEOLOGIST <br /> w c SPECIAL INSTRUCTIONS / CONSIDERATIONS (well access, time from®) <br /> eiS06etti <br /> WELL LOCK <br /> NUMBER <br /> ❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br /> WELL NO. CASING CASING DEPTH ANALYSES REQUESTED . <br /> OR SOURCE DIAMETER LENGTH TO WATER <br /> NOTE = IT IS VERY IMPORTANT TO INCLUDE COPY OF PROJECT PROPOSAL <br /> AND A WELL LOCATION MAP OR SKETCH WITH THIS REQUEST. <br /> Plate A-3 <br />