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AP <br /> GROUNDWATER SAMPLE COLLECTION DATA FORM - <br /> SAMPLE I D NO.. <br /> WELL NUMBER: <br /> DATE/TIME. _ - <br /> WEATHER: <br /> Ora irsrl L010ANALYSIS. ' <br /> WELL PURGING DATA: FILTERED? Yea 10 <br /> Initial depth to water. S' Filter Device: In-line <br /> Depth of well: l+lter barrel <br /> Volume of water in well: Litber <br /> Date/time at start of purging: � Ot <br /> Method of purging: e r <br /> Method of Decontaminating <br /> Purging equipment: <br /> 7)e 71 _ <br /> i <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br /> volume Depth to <br /> Date/time purged water Tem . OF PH EC Umhoa <br /> .N 7 0 1 ra+w1 f Iii oBor <br /> y <br /> , <br /> j , b <br /> Zo <br /> ' SAMPLE CONTAINER DATA: SAMPLE METHOD: <br /> Nap <br /> Number/type of container: r, <br /> Z VOA capacity: <br /> preserve: y <br /> Amber capacity: 9 TO <br /> preserve: - O <br /> Plastic capacity: k w <br /> preserve: �V o <br /> Other (describe): <br /> SAMPLE PRESERYA NOD: <br /> Iced Other (describe): <br /> Signature: DateMme: <br /> awd <br /> lobi <br />