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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE ID NO- M w -- <br /> WELL NUMBIx 1 AVJ— <br /> DATE/'I AE j Z `J 2 2_ Jl! O /"^ <br /> WELL PURGING DATA <br /> INCRAL DEPTH TO WATER (o <br /> DEPTH OFwaL <br /> VOLUME OF WATER IN WELL <br /> DATE/TIME ATSTART OFPURGiNG. <br /> MEIHOD OFPURGZ-4Q <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT <br /> WATER QUALITY OBSERVATIONS DURING PURGING <br /> VOLUME DEPTH 'TEMP EC <br /> DATE/71ME PURGED TO W tt °F Eu [JMHOS (000) SUR <br /> 8K 0,79 <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER. <br /> VOA'CAPACnY yv _ j y <br /> PRFSERV R G l <br /> AMBER-CAPACTIY SOLy KA I <br /> PRESERVE <br /> t PLASM-CAPAC . snb AA I <br /> PRFSERV W03 <br /> OTHER DESCRIE <br /> SAMPLE PRES�TION METHOD. <br /> O'IIiER-DQE <br />. S GNATURE <br /> DATEf r vIE <br />