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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D. NO.. a2 W- 9,A WELL NUMBER. 3A <br /> DATE/TIME: 3 cis WEATHER: <br /> ANALYSIS. C w I Pb <br /> WELL PURGING DATA: FILTERED? Yes No <br /> Initial depth to water: 5. ;2-5- Filter Device: In-line <br /> Depth of well: Filter barrel <br /> Volume of water in well: _-2. Lab <br /> Date/time at start of purging; oo Other <br /> Method of purging: 170, 1 er <br /> Method of Decontaminating • <br /> purging equipment: <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br /> Volume Depth to <br /> Date/time purged water Temp. OF pH EC Umhos - <br /> - o S►• k" odor <br /> ler <br /> ZZ <br /> SAMPLE CONTAINER DATA: SAMPLE METHOD: <br /> Number/type of container: ai2er <br /> o Z <br /> VOA capacity: ,�►1.�,_ <br />' 1 preserve: -_L- <br /> Amber <br /> L-Amber capacity: 95o 14.4. <br /> preserve: o <br /> I Plastic capacity: _ 1,4-v r <br /> preserve: j4&v,& <br /> Other (describe): <br /> SAMPLE PRESERV ION OD: <br /> Iced Other (describe): <br /> Signature: Datetrime: 4-1-9z 13 ?Z <br /> v <br /> Rind 1051 MWch im <br />