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1 A <br /> GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D NO !I w - 14 WELL NUMBER. 114 <br /> DATE/TIME q-3- WEATHER. <br /> ANALYSIS. kolo <br /> WELL PURGING DATA.A. FILTERED? Yes E) <br /> Initial depth to water: N, 73 Filter Device: In-line <br /> } Depth of well: _ LAS Ater barrel <br /> Volume of water in well: q9 Lab <br /> Date/time at start of purging: JI: 3? Other <br /> Method of purging: 'j?z,I ry <br /> Method of Decontaminatmg <br /> purging equipment: <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br />' Volume Depth to <br /> Date/time purged water Tem . !F pH EC Umhos <br /> �l•3-92 S / 6S.P 1 7 ob <br /> O 11 213 <br /> � o <br /> .O(o r r <br /> SAMPLE CONTAINER DATA. SAMMM METHOD: <br /> Bum <br /> Number/type of container. after <br /> er. <br /> VOA capacity: 940 '- <br /> preserve: _3 e . y AXPL <br /> Amber capacity: 9�= <br /> preserve: - e5- <br /> Plastic <br /> - <br /> Plastic capacity: A 6,e-r <br /> preserve: 14A)Q, <br /> Other (descnbe): <br /> SAMPLE PRESERVA N METHOD: <br /> _L Iced Other (describe): <br /> Signature: DateMme: '/-3-77- <br /> Phaed 1051 Mmr3i 1991 <br />