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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAN-' E ID No_ <br /> r WEILNUMBEfZ <br /> DATE/TTNiE, �`f/3o193� b8.3o <br /> WELL PURGING DATA /yip 16-, 37 MTlAL DEPIHTO WATER oS:I.2 / 5; 3 7 <br /> rDEIYMCFWIIL -A3 <br /> VOLUMEOFWAMINWIII_ I 51 )( , /6 : x,59 x �_= 7, 7 7 - Ste/ <br /> DATEMMEATSTARTOFPURQNG. D 130 > - 07' <br /> ;v ETI—OD OFRM2,IG. i 5 a <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT. <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP F.0 <br /> DATE/TIME PURGED IQ WTR cF uMHQS <br /> Q g4?ely3-07 r6- <br /> So 4-/,7 7, 32 <br /> M off:/S SQ 7. Ss-7! <br /> r <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER- <br /> 3 VOA-CAPACEIY: �y �'I•/ <br /> -PRESERV: ---66G/ -- <br /> AMBER-CAPACITY: <br />' -PRESERV: S'o U,7f .`,L® <br /> PI ASIIC-CAPACITY: <br /> DIMER DESCRiM- <br /> SAMPLE PRESERVATION METHOD <br /> KED <br /> OTHER-DESCRIDE <br /> S GNA'TURE iJ 0F,a66 S <br /> DATE/ ll ffi 3v Q t,'0 7 y D : 3 o <br /> ovale <br />