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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE M NO_ -F-(GC1�a 05 D 3 <br /> WEII.NUMBER -/tf <br /> DATE/TitvT_ <br /> WELL PURGING DATA <br /> IMMLAJ/ * <br /> .'DE IHTO WA71M y. 90DEPni <br /> t <br /> 1-77 6- <br /> VOLUME OF WATER TN WELL <br /> DATE/TlMEATSTARTOFPURGING. 05-1.0 319 3 ~ 0S3' `: <br /> '.�f�-IODOFP[.1ItGII�� D�U�o e � ► 5 c5�/hlF o /fir <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT: <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP EC <br /> DA- PURGED TO W °F UMHOS Cy <br /> 0-/03/93- 0'3,53 � / (,S,r y,9r/ /• -97 Ohe&y <br /> Lc�ll Dey-o3'S8 pe � Uri i f v lJ��a ;5 4 <br /> -/3:57 5'D al _ 7 <br /> 13 j2 <br /> -1411,63 1�1 7,5-ca/ <br /> �f. o 5' 1�0, ev/ /132 <br /> Clea r <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER: <br /> 3 VOA-CAPACaY: <br /> _PRESERv <br /> Amm-CAPAQIY: / 4 Grp <br /> -PT V• ScL 099,r .��nse <br /> PLASTIC-CAPACITY•. OO <br />' ig5fk-PRImmv. <br /> T•R OTHD230 E / Cc Q )o&lE Ale, Pa56ec) <br /> SAMPLE PRESERVATION METHOD. <br /> ICFE7 <br /> CARER-DEXFJBE <br /> SQ-L47URE &OL sr <br /> DA'IErI1AB _d srb 19 �!, y5- <br />