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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE ID NO_ <br /> WELLNUMBER _ 41 U1-;z <br /> DATE/TIME: _. 12 Z2°l91 <br /> WELL PURGING DATA Vt0 �ppT�iadq,ere <br /> JNMALDEPiHTOWAl`E rc.3� �rrf AI'�? l•• ,r <br /> DEPTI-IOFWELL' F:.f <br /> VOLUME OF WATER IN WELL-_ o.'S79 e,/3 <br /> DATE/llME AT STARTOF FURG24G: _ 3119 r'�,•,- - <br /> MEII-IODOFFL t 4x111" <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT: <br /> WATER QUALITY OBSERVA'T'IONS DURING PURGING: <br /> VOLUME D= TEMP EC <br /> DATE/TIME PURGED TO WTR I PH Ub1HOs T-4 <br /> r,59 2. (06.S 7.yG o. 2K o 17.0Aht <br /> 5 <br /> 675' 7.31 a.q7-yLV4 26,/ <br /> R <br /> C4-5- 7 /5-5 <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER: <br /> VOA-CAPACTIY: <br /> -FRESERV: <br /> AMBER-CAPACITY: <br /> -PRFSFRV: <br /> PLASTIC-CAPACTTY: <br /> -PRFSERV: <br /> CTFIER DE XYJBE <br /> SAMPLE PRESERVATION METHOD: <br /> ICED <br /> O HER-DESQtIBE: <br /> 9CIqATURE <br /> DA7E/IAA <br />