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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE ID NO- MILL-7-r J4 — I Z. �2 (�3 <br /> wELLNUMBER AAW, <br /> DATE/`IINM (P 13v a' S <br /> r N 90,2 Pa n^. M"y. '70 a PPA^ <br /> WELL PURGING DATA <br /> iMIIAL DEPTHTOWATER <br /> DEPIH OF WELT. <br /> VOLUMEOFWATERINWE1.1- 9c-u° n'j <br /> DATE/TIMEATSTARTOFPURGII�IG. 3 t s ) <br /> ME HC0OFPURC2,IO <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT <br /> WATER QUALITY OBSERVATIONS DURING PURGING <br /> VOLUME DEPTH TEMP EC <br /> DATE/TIME PURGED TO °F iu UMHOS (x Ick") <br /> /1r J U r <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER <br /> 3 VOA-CAPACITY 'qo MA <br /> -PRESERV <br /> j AMBER-CAPACITY D t� <br /> -PRFSERV 1`1 <br /> 1 PLASTIC-CAPACITY rlb�I <br /> -PRESERV <br /> OTHER-DESCRIES <br /> SAMPLE PRESERVATION METHOD <br /> ICED <br /> OTI-IfR-DESCRIBE. <br /> SIGNATURE <br /> DATEf IiME <br />