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GROUNDWATER SAMPLE COLLECCION DATA FORM <br /> SAMPLE ID NO- <br /> WELLNUMBFR: — <br /> DATE/TUM <br /> WELL PURGING DATA <br /> MT[ALD©TMIOWAM S.SG r^.••t n G •�� <br /> DEPTHOFWEEL• <br /> VOLLWOFWAIMINWFIL 2 3 a <br /> DATE/T ,lEATSTARTOFPURGR'Y—" <br /> MHIl-IODOFPURGING <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT: <br /> WATER QUALITY OBSERVATIONS DURING PURGING- <br /> VOLUME <br /> URGINT- � <br /> VOLUME DEPTH 7i,ro. <br /> DATE T[ME ,ED 2.95 nlu <br /> A z.z 57-4-- r_� 49 -- 2.6 xla�o <br /> G.3 <br /> -3,0 <br /> 1 <br /> �1. <br /> 1^ <br /> SAMPLE CONTAINER DATA <br /> NUMBERRYPE OF CONTAINER: <br /> VOA-CAPAC IY: <br /> .FRESSERV: <br /> AMBER-CAPACiIY <br /> -PRESERV: <br /> PLASTIC-CAPACITY: <br /> -PRESERV-. <br /> Oil-IER D2XlZM' <br /> SAMPLE PRESERVATION METHOD: <br /> ICED <br /> -- - -- - - -- -OTH R-DFSCRME <br /> SIGNATURE <br /> DAT`E/'I%ffi <br />