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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D. NO . y ouv WELL NUMBER. leg <br /> DATEITIME. I/'.? WEATHER. 0(e-r t0a v b— <br /> ANALYSIS 2=j,.,e <br /> WELL PURGING DATA: FILTERED? Yes No <br /> Initial depth to water: 3 '7 9 Filter Device: In-line <br /> Depth of well: _ Filter barrel <br /> Volume of water in well: Lab <br /> Date/time at start of purging: Other <br /> Method of purging: <br /> Method of Decontaminating <br /> purging equipment: <br /> j-2idvc�' <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> Volume Depth to <br /> Da purged water Temp. OF pH ECU brdity <br /> SAMPLE CONTAINER DATA: SAMPLE METHOD: <br /> Pum <br /> Number/type of container: Bade <br /> Other- <br /> VOA capacity: <br /> preserve: <br /> Amber capacity: <br /> preserve: <br /> Plastic capacity: <br /> preserve.- <br /> Other (descnbe): <br /> SAMPLE PRESERVATION METHOD: <br /> Iced Other (describe): <br /> Signature: Date/r=e: <br /> pmed 1051 Much M <br />