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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D NO . M Gd- 5 WELL NUMBER. _ b <br /> DATE/TIME• 3-!Z2 15: 30 WEATHER: _Cs��a.. . <br /> �r <br />' ANALYSIS• � T i t Jh <br /> D' (Na <br /> WELL PURGING DATA. FILTERED? Yes <br /> Initial depth to water: • 0 Filter Device: In-line <br /> Depth of well: A0 S Filter barrel <br /> Volume of water M well: Lab <br /> Date/tame at start of purgm L " Other <br />' Method of purging: i (,e`{ <br /> Method of Decontaminating <br /> purging equipment: <br /> N <br /> Z)' ZLO�3 <br /> WATER QUALITY OBSERVATIONS DURING PURGING. <br /> Volume Depth to o H EC Umhos Turbidi <br /> Date/time purged water Tem F p tY <br /> 7-9Z /C"081 S, .LZAI <br /> 7 .C� <br /> 1-7 A <br /> 23 O <br /> ' , 0 <br /> z� <br /> SAMPLE CONTAINER DATA: SAMPLE METHOD <br /> ' Number/type of container: <br /> W: <br /> ' VOA capacity: SLK L <br /> preserve: _del <br /> Amber capacity: <br /> preserve: <br /> Plastic capacity !oM r+ <br /> ' preserve: &A/C 2. <br /> Other (desc ): <br /> SAMPPRESERV N METHOD: <br /> Iced Other (describe): <br /> Signature: Dateffinie: Z- !z-9 z AL 30 <br /> March 1991 <br /> ' eject 1051 <br />