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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAIMPU ID NO- <br /> WIII.NUMBER /L, <br /> DATE/ DAF- <br /> WELT. PURGING DATA / <br /> INTITAL DII'I TO WATER <br /> DEPTH OF WELL <br /> VOLUME OF WATM IN WELL S 1 4 <br /> DATE/naATSTARTOFPURcNc. 5 + �J Z t 4 1 7 _ <br /> ,SMi0D OFPURCZNG D r`5 c s"l r 1�;4 '/{, <br /> METHOD OF DECONTAMINATING PURGING EQUIPMENT. <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> VOLUME DEPTH TEMP EC Na�� <br /> ATE T m- E P ��� °F MH <br /> � t T 4 Z3 3 3zt S4! 71f"17- 6 ' sz 7 9gxio' c &a4.r. <br /> f77 'S- `� '7.96x roe- <br /> i <br /> � `� r r••,C 7�r�., c� 011 <br /> SAMPLE CONTAINER DATA <br /> NUMBER/TYPE OF CONTAINER. <br /> VOA-CAPACITY. <br /> -PRESERV: <br /> AMBER-CAPACITY. <br /> -PRESFRV <br /> PLASTIC-CAPACtIY: <br /> -PRESERV: <br /> OTHER DESCRIM- <br /> SAMPLE PRESERVATION METHOD. <br /> ICED <br /> CIM-M-DESCRIBE <br />. S[C,►�IATURE � . <br /> DAM,-ME F17,015 Z o <br />