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GROUNDWATER.SAMPLE COLLECTION DATA FORM <br /> SAMPLE LD NO : m rW�-4 WELL NUMBER. cU -U <br /> DATE/TIME• 3-1 Z-` 9 l y%3o _ WEATHER: <br /> ANALYSIS: 1,, P , fE I OrC1,10le ph <br /> WELL PURGING DATA. ` D FILTERED? Yes <br /> Initial depth to water: Filter Devnce. In-line <br /> Depth of well- (q, 90 Filter barrel <br /> Volume of water m well: Lab <br />' Date/tune at start of purging: I o Other <br /> Method of purging: !?a,te <br /> Method of Decontaminating <br /> pur g equipment. <br /> 0, R20 2 14,.e> x . <br />' WATER QUALITY OBSERVATIONS DURING PURGING. <br />' Volume Depth to <br /> Dateltime purged i water Temp. of i pH EC Umhos Turbidity <br /> 3-iz-92z , y3 0.7 0 <br /> S B 79 <br /> v <br /> r <br /> 'gyp d <br /> a 42, 0 <br /> SAMPLE CONTAINER DATA. SAMPLE METHOD <br />' Number/type of container- <br /> Other: <br />' VOA capacity- Yo <br /> preserve:'r <br />' Amber capacity <br /> preserve- <br /> Plastic capacity. G7w► <br />' preserve: -dj!sjo <br /> Other (describe). <br /> SAMPLE PRESERVA METHOD. <br /> Iced Other (describe): <br /> Signature: Dateffune: 2-!z <br />' Project 1051 M 1x1 <br /> I <br />