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pCTV�E--5MCIMUNPOPQd <br /> 11=we WELL SAMPLING DATA SgST <br /> h�Bb E•NIa��p�`.5�date: GL-19—Z3 <br /> Address: Tim=: <br /> �4q • . <br /> purge Start l9 <br /> Wal!to: 1 <br /> purge End rme: 1� 7 I <br /> _allected 8�+: <br /> (feet): <br /> 5amp1i0g T ime: -Z'Total Depth <br /> � Purge Sample Race: <br /> screen Length[feet): <br /> L Purge <br /> volume[� <br /> Caaing Diameter(ir ch�l= <br /> Conducrivtty 'I'eniperaiure other <br /> 5f'allonaPurged+ pN (uslcm) °Cl r <br /> I <br /> CtlH,Ul@tlt�th r" 1 7� via" <br /> Q� <br /> g/ 7-27 <br /> Plaid certin`cation: Oate <br /> Si;ned <br />