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GROUND WATER SAMPLING AND <br /> ANALYSIS REQUEST <br /> PROJECT NAME PROJECT NO. <br /> DATE SUBMITTED PM/GEOLOGIST <br /> _ C SPECIAL INSTRUCTIONS / CONSIDERATIONS (well access, time frame) <br /> ASS®c IATSS <br /> c <br /> WELL LOCK <br /> NUMBER <br /> ❑ CHECK BOX TO AUTHORIZE DATA ENTRY <br /> WELL NO. CASING CASING DEPTH <br /> OR SOURCE DIAMETER LENGTHTOwATER ANALYSES REQUESTED . <br /> s <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 /> Plate C-3 <br />