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GROUNDWATER SANOLE COLLECTION DATA FORM <br /> SAMPIU ID NO- <br /> WELLNumBER r Z!T 40 ) L .SP1 q1'� Mai l(j a PPm- <br /> DATE/f vIE ct ?,- G,. � <br /> '56,w )z <br /> WELL PURGING DATA � ( D� S 5`► o c✓ <br /> i <br /> MAL DEPIMTOWATER 3 q i y, 3$ 5 FI s <br /> DEMq OF WELL , <br /> VOLUMEOFWATERIN WELL <br /> DATE/ vIEATSTARTOFPURGING. <br /> MEIl"C FPURCZNIG. <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT <br /> e.s yam.... '}�,�t <br /> WATER QUALITY OBSERVATIONS DURING PURGING C a <br /> VOLUME DEM-I TEMP <br /> DATEIT[ME PURGED TR I M UM OS T�1 <br /> `71 t L(o o,3z J `ti.( <br /> 76 r .off U,�o <br /> Ly S`Z <br /> SAMPLE CONTAINER DATA , �K U'^P 5 <br /> NUMBER/TYPE OF CONTAINER. )L)e c Y W" fb� <br /> VOA-CAPACIIY- <br /> -PRESERv <br /> AMBER-CAPACITY. <br /> -PRESERV <br /> PLASTIC-CAPACITY. <br /> -PRESERV <br /> C M-IER-DESCRIIBE.. <br /> SAMPLE PRESERVATION METHOD. <br /> ICED <br /> OTHER-DESCRIBE. <br /> S CNATURE <br /> DATEfrNM <br />