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14 AP <br /> GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D. NO.. In it)-,8 WELL NUMBER: 1�1'a2 <br /> DATE/TIME - Z '00 WEATHER: 411,eck" ei4" 58 F <br /> ANALYSIS T + Z 0! gsn c 4vi P� <br />' WELL PURGING DATA FILTERED Yes Zo <br /> Initial depth to water- q, 73 Filter Device. In-line <br /> Depth of well: 21. t? Filter barrel <br /> Volume of water in well: q 06' Lab <br />' Date/time at start of purging: // ; / Other <br /> Method of purging- <br /> Method of Decontaminating <br /> tpurging equipment: <br /> 77- 9;, 3 <br />' WATER QUALITY OBSERVATIONS DURING PURGING: <br />' Volume Depth to <br /> Date/time purged water Temp. OF pH EC Umhos Turbidity <br />' 3S 7 <br /> 0 7 Z <br /> SAMPLE CONTAINER DATA. SAMPLE METHOD: <br /> PUJAP <br />' Number/type of container- ail <br /> Offier- <br /> VOA capacity: W &/, <br /> preserve. <br /> Amber capacity <br />' preserve. <br /> Plastic capacity. v �^ <br />' preserve: <br /> Other (desc be). <br /> SAMPLE PRESERV N METHOD: <br /> Iced er (describe)- <br /> Signature: atejTime: 3 /L-9Z /.?. <br />' Pmed 1061 Mardi 1991 <br />