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AP <br /> G R.OUNDWATER SAIAIt E COLLECTION DATA FORM <br /> SAMPLE I.D NO . -j22GU)- WELL NUMBER. <br /> DATEITIME: 3 'cz WEATHER: 0..(ra! <br /> ANALYSIS. C 0rg,,jvfr 4 -j-o4ol VId ?D/o <br /> WELL PURGING DATA. FILTERED? Yes No <br /> Initial depth to water: 5 ;2_5' Filter Device: In-line <br /> Depth of well: Filter barrel <br /> Volume of water in well: .9- 7 7 Lab <br /> Dateltime at start of purging: co Otber <br /> Method of purging: _ ,?Q, 1 r-r <br /> Method of Decontaminating ' <br /> purging equipment: <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br /> Volume Depth to <br /> Date/time purged water Tema. OF pH EC Umhos - <br /> - o 9P S), 14 Ode! <br /> ler <br /> / Z7- <br /> . <br /> SAMPLE CONTAINER DATA. SAMPLE METHOD. <br /> Number/type of container: ailer <br /> Mir. <br /> VOA capacity: 140 P4,1 <br /> preserve: 2_14CI y <br /> l Amber capacity O m.+ <br /> preserve: <br /> Plastic capacity: <br /> preserve- Nyo t <br /> Other (describe): <br /> ( SAMPLE PRESERV ION OD: <br /> XIced Other (describe): <br /> Signature: Dateflime: q-1-97- /3'27Z <br /> v <br /> PlCp t 1051 Much 19% <br />