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�Cle (� S - Skc / 5-72 - o / <br /> GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMIPLE IDNO- /4 tj - / /I <br /> SWEA NUMBER W <br /> DATE/TIIvtE. 1 Z -Fc!Z /O Z S <br /> WELL PURGING DATA <br /> INIIIALDEMHTOWATER. <br /> DEMJOFWETL /3.OS " <br /> VOLUME OF WA TERN WEU- f 3 3 <br /> DATE/TTMEATSTARTOFPURGXl-r. /Z ,? fz- <br /> MEFHODOFPURCZN�_J�``5 a s4�,( 13a. leo- <br /> METHOD <br /> eo-METHOD OF DECONTAMINATING PURGING EQUIPMENT <br /> WA'T'ER QUALITY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP Fc <br /> DATE/'TIME P_URGED OF Ea LmHos S <br /> #9 9Z i Wit yd S7 Z c b 915' a./z X14- <br /> ado, <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF <br /> CONTAINER:- <br /> Z VOA-CAPACrIY. <br /> -PRESMW: <br /> ANEB R-CAPACTIY• <br /> -PRESERV: �tlo <br /> PLASTIC-CAPACITY. <br /> -PRESERV: <br /> CHEER DFSCRIM <br /> SAMPLE PRESERVATION METHOD: <br /> TCS <br /> OTTER-DESCRIBE <br /> 3GNATURE � <br /> DATEM,S z Mf 1 3 l <br />