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GROUNDWATER SAMPLE COLLECTION DATA FORM <br />' SAmpu ID NO- <br /> WELLNUMBER - <br /> DA'IE/T VIE. 16- <br /> WELL <br /> 5WELL PURGING DATA <br /> INRIALDEi'IHTDWATER 5', Y3 S 6 6 <br /> DETrHOFWIIL <br /> VOLUME OF WATER IN WELL. .78 A .16 n 3 - 9,6 a = 7 <br /> DATE/TII1rfEATSTARToFPUI2GIr1G. o /9oZ,? - <br /> ME1HOD OFAYJSNG D is ,/,05 <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT: <br /> � A � nit ruin z <br /> WATER QUALITY OBSERVATIONS DURING PURGING <br /> VOLUME DEPTH TEMP EC <br /> DATE/TDtAE P ,ED TO WTR °F U HOS C� <br /> o4 30 3-/5020 &- x,413 7/ 7 6.65 /-7.;20 <br /> o�4 ?d1�3-IT, 3 3 9140- <br /> r0 ,`7 IP S717-36 <br /> o 70 -2b,16 G•90 <br /> x <br /> 1 <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER. <br /> 3 VOA-CAPACITY <br /> ' -PRESERV. R c:- <br /> AMBER-CAPACIIY• � <br /> ■ -P'RESERV: soluG.?t in50 <br /> ■ _,� PiASITC-CAPAQIY. j'DD AyFC <br /> -PRES'ERV: X ikr i G Al d, <br /> ' 1 - UIfMR DE iCRM- t(Ir t"`C- 2el o, u <br /> ' SAMPLE PRESERVATION METHOD <br /> X KZ) <br /> OYER-DESCRIBE. <br /> S"lG[gATURE. 5 Sr <br /> DAmnDa- <br /> r <br />