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@ s <br /> GROUNDWATER SAIV P COLLECi`ION DATA FORM <br /> SAMPLE LD NO fn 14; :.j WELL NUMBER 41-01 <br /> DATE/TIME. WEATHER: C I S T t = 58" <br />' ANALYSIS: T }L �" cl #747 <br />' WELL PURGING DATA. FILTERED? Yes <br /> Initial depth to water- T,o 7 Filter Device: In-line <br />' Depth of well: a,g.29 Filter barrel <br /> Volume of water in well: Lab <br /> Date/time at start of purging: v Other <br />' Method of purging- <br /> Method of Decontaminating <br />' purging equipment: <br /> v 3 <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br />' Volume Depth to <br /> Date/time purged water Tem . ,DF pH EC Umhos Turbidity <br /> 1z 9z 09 ys 63. ! I <br /> s , - A -70 <br />' 02' <br /> 1 <br />' SAMPLE CONTAINER DATA: SAMPLE METHOD. <br /> Number/type of container: ai3er <br /> er: <br />' b VOA capacity 20 M <br /> preserve- lie — <br />' Amber capacity <br /> preserve- <br /> Plastic capacity. joo m i <br />' preserve: NA/Cy <br /> Other (descnbe): <br /> SAMPLP-RESER V ON METHOD: <br /> Iced 06er (descnbe)- <br /> Signature: Date/'Iime: <br /> erect 1051 MI <br />