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DOME--5570CIMUN9CIPad PRONAM <br /> WELL SAMPUN6 oA7A SHEET <br /> Address: L63/ S' ��iLr�`�oileDete: C�_20 —Z3 <br /> Well tD: Purge stare Time: 1 Z,/6 . <br /> Callealad By: Purge End 7 ma: Z� <br /> TUtal Depth(feetl: —f 5amplingiime: - <br /> screen Length(feet): Purge sample Rate: <br /> Caging Diameter(inchas): . Total Purge volume I� <br /> Con u TTV-1 remperaivre j <br /> ffallonsPurged I PI'S I (ualcm) (^c) ®char <br /> o-j OL <br /> y <br /> Coiru enw: `/^ `��, /�r� p M <br /> 1 <br /> • SAr� � � TSO <br /> Field certification: Da a <br /> Vaned <br /> r <br />