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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SANrUMNO ,-/-/YW-- 6--6y3o43 <br /> II <br /> WELLNUMBER /lztGy-S <br /> DA'TE/'I INS o q 3o93-/G ;I,� <br /> WELL PURGING DATA <br /> NrITAL DEPTHM WATER 6,72- /,/ 7 <br /> DEI CFWRL 2190 <br /> VOLUME OFWAMR IN WELL ILA Y,(6 =,/ 78 x 3 5 3 <br /> DATE/miEATSrARTOFPURarga <br /> METHOD OFA <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT. <br /> coca J-j ' ohZ <br /> WATER QUALTIY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP EC z <br /> DATE/'TIME PURGED TO WTR UMHOS <br /> 70. 3 6,.71 I 3Y <br /> 69. 7 6.67 /2,7-7 <br /> r <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER. <br /> J7 VOA-CAPACrIY• ,,7, <br />' •PR=V: Ill <br /> AMBER-CAPACITY: / C.'40z <br /> -PRESERV• fd o6n6 Zinsr, <br /> PLASTIC-CAPACrIY: <br /> -PRESERV• <br /> OIfiER DEMISE <br />' SAMPLE PRESERVATION METHOD: <br /> X KED <br /> OTHER-DESCRIBE <br /> S GNATURE <br /> DAT / 'k,jB 0 d / J �/�r <br />