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746 -7_ foe /s7z • o/ <br /> GROUNDWATER SAMPLE COLLECT70N DATA FORM <br /> SANUU M NO- M W <br /> WELLNUMBE- . M U) – <br /> DATE/TBAF- / z/8/4 <br /> WELL PURGING DATA , <br /> NMAL DE:P'IHTO WATFR �• �� em <br /> DEMiOFWE LL y-7G - ?,/ F x • 16 x 3 <br /> VOLUME OFWATER IN WELL• /, 3 3 -54-tl <br /> DATE/TIIMEATSTARTOFPURGIlNG. /zI ly5z /y 2 9 <br /> :vim-UD OFPURG2VG P c`s PO sr-h la - <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT. <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP Fc k/oTc S <br /> iz /y3y n`�Rz�� Al H� 7',6 /�' —e--c4 <br /> 3. 5'9 7 3 3 % , <br /> S�w►pl� 7;� - / yya <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER: <br /> VOA-CAPACITY: O N'••� <br /> -PRESMV �Y- <br /> AhIDQt-CAPACITY. <br /> -PRESIIR.V. <br /> PLASTIC-CAPACITY: <br /> -PRESERV. <br /> OTHER DE9CEtn3F- <br /> SAMPLE PRESERVATION METHOD: <br /> K:ED <br /> OI ER-DESC1tIEE <br /> SIGINATUEtE � /�/L ' <br />