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C 'tit{ 16ts - 5tvc11ta� / s" /C • c] / <br /> • GROUNDWATER SAMPLE COLLEC-nON DATA FORM <br />` SAMUF ID NO- M w - Z <br /> WELL.NUMBER M W Z <br /> DATE/'TIIvE /Z 171q Z /3 SD <br /> WELL PURGRNG DATA <br /> NMAL DEPM TO WATEIL ' <br /> DarTHOF�vT•ii: 2 3 - Z Z ' I7.IZ�X •1� x 3 = �• j7 9 <br /> vOLUME OFwATER jN wEu. 2 • 71? y <br /> DATE/'I mATSTARTOFPuFjmw-,, / z/-FZ / 3 SA/ <br /> tvtMM CEPURClNG 5 v sa b�r l3 r <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT. <br /> WATER QUALITY OBSERVATIONS DUIUNG PURGING: <br /> VOLUME DEPTH TEMP EC <br /> DATEnPa PURGED TQ WTR OF <br /> I YUv 3 9dh' s7x ry Z Ti.rLeo{ <br /> P/Ot 6 fa . / 7 dqupz <br /> 11 1 _ 9 �� 6 3. 74 '7, 17 Sv �" <br /> 5Tom _ /y7Z <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER: D <br /> Z VOA-CAI'ACIIY: <br /> -PRESEKV: A( C41 <br /> AMBER-CAflACIIY: l <br /> .PRESERV: <br /> PLASTIC-CAPACITY: <br /> -PRESERV: <br /> QTF3ER-DTSCItIDE <br /> SAMPLE PRFSER�JC ATION METHOD: <br /> —. Tann <br /> OTHER-DESCRI1Z <br /> SK24ATURE <br /> DATEMME <br />